Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Understanding Silicone Breast Implant-Associated Complications for Radiologists

영상의학과 의사들을 위한 실리콘 유방 보형물 관련 합병증의 이해

  • Jeongmin Lee (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Sung Hun Kim (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Jae Hee Lee (Human Medical Imaging & Intervention Center) ;
  • Boo Kyung Han (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이정민 (가톨릭대학교 의과대학 서울성모병원 영상의학과) ;
  • 김성헌 (가톨릭대학교 의과대학 서울성모병원 영상의학과) ;
  • 이재희 (휴먼영상의학센터) ;
  • 한부경 (성균관대학교 의과대학 삼성서울병원 영상의학과)
  • Received : 2020.12.19
  • Accepted : 2021.01.19
  • Published : 2021.01.01
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Abstract

With the increase in the number of cases of silicone implant insertion either for cosmetic surgery or breast reconstruction after mastectomy, it is not unusual to encounter patients with silicone implants in clinical settings. Recently, the first case of breast implant-associated anaplastic large cell lymphoma was reported in Korea. In addition to previously known complications, such as implant rupture or contracture, the number of implant-associated imaging examinations has also increased. Considering this background, radiologists should have sufficient knowledge about the type of examination required in patients who have undergone implant insertion and imaging findings to correctly identify implant-associated complications. In this article, various complications of silicone implants are discussed, including various imaging findings, which radiologists should know.

미용적 성형 및 유방암 수술 후 재건의 목적으로 사용되는 실리콘 보형물의 사용이 국내외에서 크게 증가함에 따라 진료 영역에서 실리콘 보형물 삽입술을 받은 환자들을 어렵지 않게 접하게 되었다. 기존에 알려져 있던 보형물의 파열이나 구축과 같은 합병증 외에 최근에는 유방 보형물 연관 역형성 대세포 림프종과 같은 악성 종양과의 연관성도 보고되면서 보형물 관련한 영상 검사가 증가하고 있다. 이러한 상황에서 영상의학과 의사들은 보형물 삽입술을 받은 환자에 대해 어떤 검사가 필요하고 어떤 영상 소견이 보형물 관련 합병증을 시사하는지에 관한 충분한 지식을 갖추고 있어야 할 것이다. 본 종설에서는 영상의학과 의사들이 알아야 하는 실리콘 보형물의 다양한 합병증과 이들의 영상 소견에 대해 다루고자 한다.

Keywords

References

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