Article
Supraclavicular implant migration following augmentation mammaplasty with hydrophilic polyacrylamide gel
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Published: | September 7, 2006 |
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Outline
Text
Supraclavicular masses have a variety of differential diagnoses such as lymphoma, metastasis or mycobacterial infection.
A forty year old woman attended our clinic complaining of a left sided soft supraclavicular swelling since eight weeks. Physical examination did not reveal other pathologic findings. MRI and ultrasound imaging showed a supra- and infraclavicular mass with well defined margins and a diameter of about 40mm. Choosing a supraclavicular incision we removed a cystic lesion with sticky jelly content. The histopathology report was of a pseudocystic lesion filled with amorphous material surrounded by a foreign body reaction. Asking the patient she confirmed that she had undergone augmentation mammaplasty with injection of hydrophilic polyacrylamide gel (PAAG) in the Ukraine ten years ago. Since some months she observed an irregular contour of her left breast. CT scan of the chest detected another cystic mass of the left axilla.
As a conclusion in this case supraclavicular swelling occurred as a symptom of lymphatic implant migration after breast augmentation with PAAG. Only few authors reported about long term results and possible late complications following PAAG-injection mammaplasty.
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