Silicone granuloma mimicking lymphatic metastases in a patient with breast cancer
Keywords:
breast implants, adverse effects, breast neoplasm, surgery, granuloma, diagnostic imaging, womanAbstract
Silicone breast implants are commonly used, even for reconstruction after mastectomy in malignant disease. In this setting, the presence of suspicious lymphadenopathy should be investigated, because it could represent disease progression. A case of a woman with left breast cancer (more than 20 years ago) and prosthesic reconstruction is reported. She developed a second breast cancer on the opposite side. During follow up, a suspicious lymphadenopathy was seen in the computed tomography scan, but the final diagnosis corresponded to a siliconoma. Silicone granuloma is a difficult diagnosis in these cases, but must be considered.
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Chuangsuwanich A, Warnnissorn M, Lohsiriwat V. Siliconoma of the breasts. Gland Surg. 2013;2(1):46-9. https://doi.org/10.3978/j.issn.2227-684X.2013.02.05
Brown SL, Silverman BG, Berg WA. Rupture of silicone-gel breast implants: causes, sequelae, and diagnosis. Lancet. 1997;350(9090):1531-7. https://doi.org/10.1016/S0140-6736(97)03164-4
Carson B, Cox S, Ismael H. Giant siliconoma mimicking locally advanced breast cancer: a case report and review of literature. Int J Surg Case Rep. 2018;48:54-60. https://doi.org/10.1016/j.ijscr.2018.05.001
Lee Y, Song SE, Yoon E-S, Bae JW, Jung SP. Extensive silicone lymphadenopathy after breast implant insertion mimicking malignant lymphadenopathy. Ann Surg Treat Res. 2017;93(6):331-5. https://doi.org/10.4174/astr.2017.93.6.331
Oh JH, Song SY, Lew DH, Lee DW. Distant migration of multiple siliconomas in lower extremities following breast implant rupture: case report. Plast Reconstr Surg Glob Open. 2016;4(10):e1011. https://doi.org/10.1097/GOX.0000000000001011
Jeng C-J, Ko M-L, Wang T-H, Huang S-H. Vulvar siliconoma migrating from injected silicone breast augmentation. BJOG. 2005;112(12):1659-60. https://doi.org/10.1111/j.1471-0528.2005.00761.x
Grubstein A, Cohen M, Steinmetz A, Cohen D. Siliconomas mimicking cancer. Clin Imaging. 2011;35(3):228-31. https://doi.org/10.1016/j.clinimag.2010.07.006
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Copyright (c) 2021 Márcia Marinho, Luís Castro, Maria José Rocha, Arlindo Ferreira
This work is licensed under a Creative Commons Attribution 4.0 International License.
