Cargando…

Breast silicone implants’ pericapsular impairment: current underdiagnosed status

Many complications related to silicone implants have been reported recently, from clinical symptoms manifestations to association with some specific types of cancer. During the early 2010s, it was believed that implants were biocompatible and inert to the human body and that gel bleeding/leakage eve...

Descripción completa

Detalles Bibliográficos
Autor principal: de Faria Castro Fleury, Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10536283/
https://www.ncbi.nlm.nih.gov/pubmed/37780912
http://dx.doi.org/10.3389/fsurg.2023.1249078
_version_ 1785112829122052096
author de Faria Castro Fleury, Eduardo
author_facet de Faria Castro Fleury, Eduardo
author_sort de Faria Castro Fleury, Eduardo
collection PubMed
description Many complications related to silicone implants have been reported recently, from clinical symptoms manifestations to association with some specific types of cancer. During the early 2010s, it was believed that implants were biocompatible and inert to the human body and that gel bleeding/leakage events were rare and without repercussions for the human body. However, at the end of 2010s, several studies pointed out that gel bleeding was more frequent than previously believed, and the pathogenic potential of free silicone should not be ignored. The Food and Drug Administration recommends performing magnetic resonance imaging in asymptomatic patients 5–6 years after implant placement. The descriptors in the Breast Imaging and Reporting Data System lexicon seem outdated for classifying the new generations of implants with cohesive gel, which hinders the diagnosis of device complications. In this review, supported by our research data publications related to silicone implants for 6 years on a prospective study protocol, most of them being original articles, we summarized the main complications observed in clinical practice and discuss the impact of these changes on patients’ outcomes focusing on the pericapsular space.
format Online
Article
Text
id pubmed-10536283
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-105362832023-09-29 Breast silicone implants’ pericapsular impairment: current underdiagnosed status de Faria Castro Fleury, Eduardo Front Surg Surgery Many complications related to silicone implants have been reported recently, from clinical symptoms manifestations to association with some specific types of cancer. During the early 2010s, it was believed that implants were biocompatible and inert to the human body and that gel bleeding/leakage events were rare and without repercussions for the human body. However, at the end of 2010s, several studies pointed out that gel bleeding was more frequent than previously believed, and the pathogenic potential of free silicone should not be ignored. The Food and Drug Administration recommends performing magnetic resonance imaging in asymptomatic patients 5–6 years after implant placement. The descriptors in the Breast Imaging and Reporting Data System lexicon seem outdated for classifying the new generations of implants with cohesive gel, which hinders the diagnosis of device complications. In this review, supported by our research data publications related to silicone implants for 6 years on a prospective study protocol, most of them being original articles, we summarized the main complications observed in clinical practice and discuss the impact of these changes on patients’ outcomes focusing on the pericapsular space. Frontiers Media S.A. 2023-09-12 /pmc/articles/PMC10536283/ /pubmed/37780912 http://dx.doi.org/10.3389/fsurg.2023.1249078 Text en © 2023 de Faria Castro Fleury. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
de Faria Castro Fleury, Eduardo
Breast silicone implants’ pericapsular impairment: current underdiagnosed status
title Breast silicone implants’ pericapsular impairment: current underdiagnosed status
title_full Breast silicone implants’ pericapsular impairment: current underdiagnosed status
title_fullStr Breast silicone implants’ pericapsular impairment: current underdiagnosed status
title_full_unstemmed Breast silicone implants’ pericapsular impairment: current underdiagnosed status
title_short Breast silicone implants’ pericapsular impairment: current underdiagnosed status
title_sort breast silicone implants’ pericapsular impairment: current underdiagnosed status
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10536283/
https://www.ncbi.nlm.nih.gov/pubmed/37780912
http://dx.doi.org/10.3389/fsurg.2023.1249078
work_keys_str_mv AT defariacastrofleuryeduardo breastsiliconeimplantspericapsularimpairmentcurrentunderdiagnosedstatus