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December 1979

Mass Lesion of the Breast After Augmentation Mammoplasty

Author Affiliations

From the Department of Surgery, West Virginia University Medical Center (Dr Savrin), Morgantown, and the Department of Surgery, Ohio State University (Drs Martin and Ruberg), Columbus.

Arch Surg. 1979;114(12):1423-1424. doi:10.1001/archsurg.1979.01370360077010

• Examination of the breast after augmentation mammoplasty may be relatively easy, but the evaluation of a mass lesion presents particular possibilities and problems. Closed compression capsulotomy occasionally results in rupture of the gel prosthesis, and when silicone contacts the surrounding breast tissue, a firm granuloma can result. A patient after augmentation mammoplasty had a mass lesion of the breast following trauma. At operation, the gel prosthesis was found to have ruptured and resulted in a silicone granuloma. A history of closed compression capsulotomy or trauma is important in the preoperative evaluation of such patients, and both the surgeon and the patient should be prepared to procede with replacement of the implant at the time of biopsy.

(Arch Surg 114:1423-1424, 1979)