Chest wall fibromatosis associated with silicone breast implants

Aggressive fibromatosis is a well described locally destructive benign lesion, comprising 0.3% of all solid tumours. Although the chest wall is a common location, this tumour has rarely been associated with breast tissue or breast implants. Herein is only the fourth case described in conjunction with a breast implant and the only case linked to a ruptured silicone implant. This tumour was locally aggressive and required wide surgical resection, including removal of the chest wall, to gain control. Wide surgical resection is recommended with the application of adjuvant radiation therapy being more controversial.