Subject(s)
Abdominal Wall/surgery , Cystostomy/adverse effects , Plastic Surgery Procedures/methods , Surgical Flaps , Female , Humans , Middle Aged , ThighABSTRACT
We report the case of a 44 year old lady with bilateral cosmetic silicone breast implants who had previously undergone a change of her right implant following extracapsular rupture. She presented 4 years later with a new lump in her right breast and underwent subcutaneous mastectomy for a grade 3 invasive ductal carcinoma. Sentinel lymph node biopsy demonstrated axillary silicone lymphadenopathy but nil evidence of metastatic disease. We present this as the first described case of successful sentinel lymph node biopsy in the context of prior augmentation mammaplasty and ipsilateral implant rupture with silicone lymphadenopathy.
Subject(s)
Breast Implants , Granuloma, Foreign-Body/pathology , Sentinel Lymph Node Biopsy , Adult , Axilla , Breast Neoplasms/pathology , Carcinoma, Ductal, Breast/pathology , Female , Granuloma, Foreign-Body/diagnosis , Granuloma, Foreign-Body/surgery , Humans , Mammography , Mastectomy , Neoplasm Invasiveness , Prosthesis Failure , Silicones/adverse effects , Tissue ExpansionABSTRACT
We report the case of a 44-year-old man who presented with a new area of nodularity within his scar five years after excision of a dermatofibrosarcoma protuberans (DFSP). A wide local excision was performed for suspected DFSP recurrence. Histology revealed recurrent tumour showing combined histological features of DFSP and giant cell fibroblastoma (GCF). We present this case to highlight the potential diagnostic pitfall of DFSP recurring as giant cell fibroblastoma and as further evidence that DFSP and GCF are manifestations of the same disease spectrum.
