Evidence map›Paper›PMID 33923240›Full record

ArticleInternational journal of environmental research and public health2021

A Case of Silicone and Sarcoid Granulomas in a Patient with "Highly Cohesive" Silicone Breast Implants: A Histopathologic and Laser Raman Microprobe Analysis.

Todor I Todorov, Erik de Bakker, Diane Smith, Lisette C Langenberg, Linda A Murakata, Mark H H Kramer, Jose A Centeno, Prabath W B Nanayakkara

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. The Role of Positron Emission Tomography Imaging in Breast Implant Illness.Plastic and reconstructive surgery. Global open · 2025
    Article
  4. Article
  5. Article
  6. Silicone Migration from Intact Saline Breast Implants.Plastic and reconstructive surgery. Global open · 2024
    Article
  7. Breast implant iatrogenics: challenging the safety narrative.Frontiers in global women's health · 2024
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Todor I TodorovDepartment of Environmental and Infectious Disease Sciences, Division of Biophysical Toxicology, Armed Forces Institute of Pathology, Washington, DC 20306, USA.
Erik de BakkerDepartment of Plastic Surgery, VU University Medical Centre, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.ORCID 0000-0002-9648-1691
Diane SmithHenry Jackson Foundation, Bethesda, MD 20817, USA.
Lisette C LangenbergDepartment of Internal Medicine, VU University Medical Centre, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.ORCID 0000-0001-7430-4179
Linda A MurakataDepartment of Environmental and Infectious Disease Sciences, Division of Biophysical Toxicology, Armed Forces Institute of Pathology, Washington, DC 20306, USA.
Mark H H KramerDepartment of Pathology, VU University Medical Centre, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.ORCID 0000-0001-7996-0466
Jose A CentenoDepartment of Environmental and Infectious Disease Sciences, Division of Biophysical Toxicology, Armed Forces Institute of Pathology, Washington, DC 20306, USA.ORCID 0000-0002-1202-0493
Prabath W B NanayakkaraHenry Jackson Foundation, Bethesda, MD 20817, USA.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLArmed Forces Institute of Pathology · USJackson Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Foreign body giant cell (FBGC) reaction to silicone material in the lymph nodes of patients with silicone breast implants has been documented in the literature, with a number of case reports dating back to 1978. Many of these case reports describe histologic features of silicone lymphadenopathy in regional lymph nodes from patients with multiple sets of different types of implants, including single lumen smooth surface gel, single lumen textured surface gel, single lumen with polyethylene terephthalate patch, single lumen with polyurethane coating, and double lumen smooth surface. Only one other case report described a patient with highly-cohesive breast implants and silicone granulomas of the skin. In this article, we describe a patient with a clinical presentation of systemic sarcoidosis following highly cohesive breast implant placement. Histopathologic analysis and Confocal Laser Raman Microprobe (CLRM) examination were used to confirm the presence of silicone in the axillary lymph node and capsular tissues. This is the first report where chemical spectroscopic mapping has been used to establish and identify the coexistence of Schaumann bodies, consisting of calcium oxalate and calcium phosphate minerals, together with silicone implant material.

Indexed as

Breast ImplantationBreast ImplantsGranulomaHumansLasersSilicone GelsSilicone Gelsbreast implantRamansarcoidosisSchaumann bodiessilicone

Identifiers

PMID33923240
PMCPMC8123188
OpenAlexW3157783576

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.