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Management of paraffinoma of the breast: 10 years' experience

Authors
Journal
British Journal of Plastic Surgery
0007-1226
Publisher
Elsevier
Publication Date
Volume
54
Issue
3
Identifiers
DOI: 10.1054/bjps.2000.3533
Keywords
  • Paraffinoma Of The Breast
  • Spectrum Of Disease
  • Breast Cancer
  • Diagnosis
  • Treatment
Disciplines
  • Biology
  • Education
  • Medicine

Abstract

Summary Paraffin injection was regarded as a simple and effective method of improving body contour. It was widely used in breast augmentation until the long-term complication of paraffinoma was recognised. Paraffinoma of the breast can present as a spectrum of disease ranging from a painless mass to a destructive ulcer simulating breast cancer. This makes it difficult to make the correct diagnosis and provide suitable treatment. Eight patients with paraffinoma of the breast have been managed at a teaching hospital over a 10 year period. All were females, with a mean age of 65.6 years (range: 57–73 years). The average time between paraffin injection and the onset of symptoms was 24 years (range: 11–30 years). These patients have been followed up for between 3 and 10 years (mean: 6.1 years). One patient died of congestive heart failure 4 years after bilateral mastectomy for painful paraffinomas of the breasts. Another patient had a coexisting infiltrative ductal carcinoma of the breast. The clinical presentations, radiological appearances, histopathological features and the treatment are discussed.

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