Eur J Plast Surg (2015) 38:253–254 DOI 10.1007/s00238-014-1047-0 LETTER TO THE EDITOR Contralateral axillary silicone lymphadenopathy, following skin sparing mastectomy and immediate reconstruction with latissimus dorsi myocutaneous flap and implant Christina On-Yu Yip & Andrew Malyon Received: 2 October 2014 /Accepted: 25 November 2014 /Published online: 7 January 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, However, the significance of scarring from combined autolo- Dorogi et al. reported a case of contralateral axillary silicone gous and implant breast reconstruction has alternated the lymphadenopathy after mastectomy, ipsilateral axillary clear- lymphatic drainage and later resulted in contralateral silicone ance and immediate reconstruction with a Becker 25 expander lymphadenopathy, when an implant ruptured. implant. The authors commented the effect of axillary block As Dorogi et al. suggested, silicone leakage from rup- dissection on lymphatic drainage pattern. More interestingly, tured breast implants has previously been reported; many of silicone lymphadenopathy reported in this case was associated these cases were indicated for esthetic augmentation [2–4]. with an intra-capsular implant rupture only . Very often, silicone leak remains localized and to ipsilateral In our experience, we have also encounter a similar breast axillary lymph nodes . Patients who have had mastecto- reconstruction case of contralateral axillary silicone
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2015
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