Breast cancer masquerading as siliconoma: a cautionary tale

Free silicone injections to the breast for augmentation purposes have been prohibited in many countries but late complications are still seen. These complications can range from swelling to pain and breast lumps. We report a case of delayed diagnosis of cancer due to the presence of silicone granulomata in a patient. She subsequently underwent nipple-sparing mastectomy with immediate deep inferior epigastric perforator flap reconstruction with good oncological and cosmetic outcomes.