Abstract
Purpose
The aims of this study are to demonstrate the clinical characteristics and various imaging findings of breast cancers in patients with interstitial mammoplasty.
Methods
A total of six patients, who had breast cancer and had received liquid silicone or paraffin injection for augmentation, were included in this study. Mammography, ultrasonography, dynamic breast MRI, and PET/CT were performed for 5, 3, 6, and 2 patients, respectively. The clinical course was reviewed, and the imaging findings were retrospectively evaluated according to the ACR BI-RADS® atlas.
Results
The mean maximal diameter of the detected breast cancers on enhanced breast MRI was 5.5 cm (range 4.8–7.1 cm). Although the breast cancers were all of a large size, subjective breast symptoms exhibited in only four of six patients. Mammographic examinations exhibited variable associate findings such as skin thickening, ipsilateral volume increase, and increase densities, but could not demonstrate main breast masses. A few sonographic examinations exhibited masses with associate findings such as skin thickening. On breast MRI, enhancing breast cancers with associate findings were detected in all the patients. On PET-CT, breast cancers and distant metastases were detected.
Conclusions
Breast cancers in these patients were detected at the advanced stage. Dynamic breast MRI was useful for detecting breast cancer in these patients. Mammography failed to demonstrate the breast cancer, but cancer detection was facilitated by associated findings: skin thickening, asymmetric volume increase, and increased density.
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References
Habal MB (1984) The biologic basis for the clinical application of the silicones. A correlate to their biocompatibility. Arch Surg 119:843–848
Ho WS, Chan AC, Law BK (2001) Management of paraffinoma of the breast: 10 years’ experience. Br J Plast Surg 54:232–234. doi:10.1054/bjps.2000.3533
Wang J, Shih TT, Chang KJ, Li YW (2002) Silicone migration from silicone-injected breasts: magnetic resonance images. Ann Plast Surg 48:617–621
Scaranelo AM, de Fatima Ribeiro Maia M (2006) Sonographic and mammographic findings of breast liquid silicone injection. J Clin Ultrasound 34:273–277. doi:10.1002/jcu.20235
Steinbach BG, Hardt NS, Abbitt PL (1993) Mammography: breast implants—types, complications, and adjacent breast pathology. Curr Probl Diagn Radiol 22:39–86
Steinbach BG, Hardt NS, Abbitt PL, Lanier L, Caffee HH (1993) Breast implants, common complications, and concurrent breast disease. Radiographics 13:95–118
Cheung YC, Lee KF, Ng SH, Chan SC, Wong AM (2002) Sonographic features with histologic correlation in two cases of palpable breast cancer after breast augmentation by liquid silicone injection. J Clin Ultrasound 30:548–551. doi:10.1002/jcu.10110
Peng HL, Wu CC, Choi WM, Hui MS, Lu TN, Chen LK (1999) Breast cancer detection using magnetic resonance imaging in breasts injected with liquid silicone. Plast Reconstr Surg 104:2116–2120
Leibman AJ, Sybers R (1994) Mammographic and sonographic findings after silicone injection. Ann Plast Surg 33:412–414
Wang J, Shih TT, Li YW, Chang KJ, Huang HY (2002) Magnetic resonance imaging characteristics of paraffinomas and siliconomas after mammoplasty. J Formos Med Assoc 101:117–123
American College of Radiology (2003) Breast imaging reporting and data system, breast imaging atlas. American College of Radiology, Reston
Khong PL, Ho LW, Chan JH, Leong LL (1999) MR imaging of breast paraffinomas. AJR Am J Roentgenol 173:929–932
Yang WT, Suen M, Ho WS, Metreweli C (1996) Paraffinomas of the breast: mammographic, ultrasonographic and radiographic appearances with clinical and histopathological correlation. Clin Radiol 51:130–133
Mund DF, Farria DM, Gorczyca DP, DeBruhl ND, Ahn CY, Shaw WW, Bassett LW (1993) MR imaging of the breast in patients with silicone-gel implants: spectrum of findings. AJR Am J Roentgenol 161:773–778
Everson LI, Parantainen H, Detlie T, Stillman AE, Olson PN, Landis G, Foshager MC, Cunningham B, Griffiths HJ (1994) Diagnosis of breast implant rupture: imaging findings and relative efficacies of imaging techniques. AJR Am J Roentgenol 163:57–60
Caskey CI, Berg WA, Hamper UM, Sheth S, Chang BW, Anderson ND (1999) Imaging spectrum of extracapsular silicone: correlation of US, MR imaging, mammographic, and histopathologic findings. Radiographics 19 Spec No:S39–S51; quiz S261–S262
Potterton J (2002) The augmented and reconstructed breast. In: Warren R, Coulthard A (eds) Breast MRI in practice. Martin Dunitz, London, pp 161–174
Andersson I, Chang AE, Helvie MA, Wahl RL (1994) Detection of breast cancer in women after augmentation mammoplasty using fluorine-18-fluorodeoxyglucose-PET. J Nucl Med 35:872–875
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Kang, B.J., Kim, S.H., Choi, J.J. et al. The clinical and imaging characteristics of breast cancers in patients with interstitial mammoplasty. Arch Gynecol Obstet 281, 1029–1035 (2010). https://doi.org/10.1007/s00404-009-1276-9
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DOI: https://doi.org/10.1007/s00404-009-1276-9