Injected Breast Materials: Review of Imaging Features and Characteristics

Author:

Gao Yukun1,Karimova E Jane2ORCID,Phillips Jordana1,Fein-Zachary Valerie1,Dialani Vandana1ORCID,Mehta Tejas S1,Mehta Rashmi1,Slanetz Priscilla J3ORCID

Affiliation:

1. Beth Israel Deaconess Medical Center, Department of Radiology, Boston, MA, USA

2. Brigham and Women’s Hospital, Department of Radiology, Boston, MA, USA

3. Boston Medical Center, Department of Radiology, Boston, MA, USA

Abstract

Abstract In the United States, silicone and saline breast implants with their familiar radiologic appearance are the mainstays of breast augmentation. However, less well-known sequelae of unconventional injected materials introduced for cosmetic and noncosmetic purposes may also be encountered on breast imaging—for example, free silicone, paraffin and/or oil, polyacrylamide gel, autologous fat, and hyaluronic acid, which are encountered in the setting of breast augmentation. Breast injection of go-yak is not cosmetic but also results in characteristic imaging findings. Breast changes due to extravasation of chemotherapy or interstitial brachytherapy can mimic the appearance of injected noncosmetic materials. Because many of these materials can mimic or obscure imaging findings of breast cancer, it is important to recognize their varied appearances and the limitations of imaging alone in delineating breast injection material from cancer. Given the relatively uncommon incidence of injected materials into the breast, this article aims to review the imaging appearance in order to aid radiologists in maximizing cancer detection and ensuring optimal patient management.

Publisher

Oxford University Press (OUP)

Subject

Radiology Nuclear Medicine and imaging,Radiological and Ultrasound Technology

Reference41 articles.

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