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Image of the Month—Diagnosis
Corresponding author: Gladys L. Giron, MD, St Luke's-Roosevelt Hospital Center, Division of Breast Surgery, 425 W 59th St, Suite 7A, New York, NY 10019 (e-mail: gladyslgiron@hotmail.com).
Arch Surg. 2004;139:342.
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Answer: Silicone Mastitis With Abscess
Computed tomographic scan shows the right breast with an irregular, thick-walled collection measuring 11 x 4 cm extending to and causing thickening of the underlying pectoralis major muscle.
Injection of foreign materials directly into mammary parenchyma is widely described in the literature. A wide range of objects have been used, including paraffin waxes, beeswax, shellac, shredded fabric, spun glass, and silicone fluid.1 The practice of injecting silicone fluid became fairly widespread in the 1960s and early 1970s. Although the US Federal Drug Administration, Rockville, Md, never approved its use for breast augmentation, the practice continued illicitly in the United States and most notably in Asia.2 The findings in our patient reveal a right breast abscess superimposed on a background of silicone mastitis. The abscess was immediately addressed with ultrasound-guided percutaneous drainage, followed by prompt resolution of the erythema, asymmetry, and a low-grade fever that had developed.
Complications of silicone injections . . . [Full Text of this Article]
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Image of the Month—Quiz Case
Gladys L. Giron and Paul I. Tartter
Arch Surg. 2004;139(3):341-342.
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