Uncommon complications of breast prostheses

Radiologia (Engl Ed). 2020 Jul-Aug;62(4):266-279. doi: 10.1016/j.rx.2020.01.008. Epub 2020 Apr 6.
[Article in English, Spanish]


Breast implants are associated with well-known common complications that have been widely studied, such as rupture and capsular contraction. However, the increasingly growing number of patients with breast implants has led to the increased likelihood of coming across less common complications; these include seromas or late infection; adenopathies in the internal mammary chain; granulomas in the capsule of the implant, which in some cases can extend beyond the fibrous capsule; desmoid tumors associated with the implants; and breast implant-associated large cell anaplastic lymphoma. This article aims to review the main uncommon complications associated with breast implants and to describe and illustrate their findings in different imaging techniques. Proper management of these complications is important; this is especially true of late seroma and the diagnosis of breast implant-associated large cell anaplastic lymphoma for their repercussions.

Keywords: Adenopatías de la cadena mamaria interna; Breast cancer; Breast fibromatosis; Breast implants; Breast surgery; Cirugía de mama; Cáncer de mama; Fibromatosis mamaria; Fibrous capsule granuloma; Granulomas de la cápsula fibrosa; Implantes mamarios; Infección tardía; Internal mammary chain adenopathies; Large cell anaplastic lymphoma; Late infection; Late seroma; Linfoma anaplásico de células grandes; Magnetic resonance imaging; Resonancia magnética de mama; Seroma tardío.

Publication types

  • Review

MeSH terms

  • Breast Implants / adverse effects*
  • Breast Neoplasms / etiology
  • Female
  • Fibroma / etiology
  • Granuloma, Foreign-Body / etiology
  • Humans
  • Lymphoma, Large-Cell, Anaplastic / etiology
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology*
  • Silicone Gels


  • Silicone Gels