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2025, Number 3

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Acta Med 2025; 23 (3)

Evaluation by mammography and ultrasound of breast implants and their complications

Rodríguez OCV, González VC

Language: Spanish
References: 15
Page: 238-244
PDF size: 685.27 Kb.


ABSTRACT

Introduction: due to the increase in breast surgeries for aesthetic purposes and device development, radiological evaluation of breast implants constitutes an important part of daily activity for an imaging specialist. Objectives: describe the radiological findings of breast implants, pathologies, and cartographic assessment of the fibrous capsule, creating a scale that defines the main findings. Material and methods: a retrospective study was carried out to evaluate patients with aesthetic breast implants who underwent bilateral mammography and breast ultrasound, studying the age, placement, most common pathology, and mammographic description of the fibrous capsule by grade. Results: a total of 140 patients with an average age of 51.16 years were analyzed; the plane of placement of the prosthesis was sub glandular in 64.3%. The primary pathology associated with the implants was intracapsular rupture in 5.7% of the total sample, which had an average placement time of 14.7 years. The main finding in the fibrous capsule was capsular thickening. Conclusion: the evaluation of breast implants should be carried out with conventional diagnostic methods, and the prevalence of pathology is low. The fibrous capsule's evolution degrees can be assessed by mammography and associated with the average implant placement time.


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