Which term describes rupture that is not contained within the capsule (leakage into surrounding tissue)?

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Multiple Choice

Which term describes rupture that is not contained within the capsule (leakage into surrounding tissue)?

Explanation:
Rupture that leaks beyond the protective capsule is extracapsular rupture. When the implant shell fails and silicone escapes into the surrounding breast tissue, the leak is not contained by the capsule, which is why it’s described as extracapsular. On imaging, this shows silicone outside the capsule in the breast tissue, potentially with accompanying inflammatory changes. To contrast, rupture confined to the capsule is intracapsular rupture. Signs such as the linguine sign on MRI and the step-ladder sign on ultrasound indicate silicone rupture inside the capsule, while the capsule remains intact overall.

Rupture that leaks beyond the protective capsule is extracapsular rupture. When the implant shell fails and silicone escapes into the surrounding breast tissue, the leak is not contained by the capsule, which is why it’s described as extracapsular. On imaging, this shows silicone outside the capsule in the breast tissue, potentially with accompanying inflammatory changes.

To contrast, rupture confined to the capsule is intracapsular rupture. Signs such as the linguine sign on MRI and the step-ladder sign on ultrasound indicate silicone rupture inside the capsule, while the capsule remains intact overall.

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