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Granulomatous Reaction to Silicone in Axillary Lymph Nodes

Granulomatous Reaction to Silicone in Axillary Lymph Nodes Acta Cytologica Granulomatous Reaction to Silicone in Axillary Lymph Nodes A Case Report with Cytologic Findings Angel Santos-Briz, Jr., M.D., Fernando López-Ríos, M.D., Angel Santos-Briz, M.D., and Pedro P. De Agustín, M.D., F.I.A.C. BACKGROUND: Silicone lymphadenopathy is a rare cones, axilla, lymph nodes, aspiration biopsy. complication in patients with breast implants and is often confused with metas- Breast implants have been tases from breast carcinoma. marketed since the early CASE: A 36-year-old female 1960s. Every year thou- FNA is an accurate and who had undergone bilater- sands of women undergo cost-effective method of ruling al breast augmentation six implant surgery for aug- years earlier was referred for mentation or reconstruc- out malignancy and diagnosing a mass in the left axilla. Fine tion following mastecto- implant disruption in patients needle aspiration showed a my. As the age of the granulomatous reaction to implant increases, so does with silicone prostheses birefringent material with the risk of silicone leaking. presenting with an axillary mass. predominance of foreign This is responsible for body giant cells in a lym- most local complications phoid background. as well as for silicone mi- CONCLUSION: This report illustrates the usefulness of gration beyond breast tissues. Therefore, the num- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Cytologica Karger

Granulomatous Reaction to Silicone in Axillary Lymph Nodes

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Publisher
Karger
Copyright
© 2011 S. Karger AG, Basel
ISSN
0001-5547
eISSN
1938-2650
DOI
10.1159/000331373
Publisher site
See Article on Publisher Site

Abstract

Acta Cytologica Granulomatous Reaction to Silicone in Axillary Lymph Nodes A Case Report with Cytologic Findings Angel Santos-Briz, Jr., M.D., Fernando López-Ríos, M.D., Angel Santos-Briz, M.D., and Pedro P. De Agustín, M.D., F.I.A.C. BACKGROUND: Silicone lymphadenopathy is a rare cones, axilla, lymph nodes, aspiration biopsy. complication in patients with breast implants and is often confused with metas- Breast implants have been tases from breast carcinoma. marketed since the early CASE: A 36-year-old female 1960s. Every year thou- FNA is an accurate and who had undergone bilater- sands of women undergo cost-effective method of ruling al breast augmentation six implant surgery for aug- years earlier was referred for mentation or reconstruc- out malignancy and diagnosing a mass in the left axilla. Fine tion following mastecto- implant disruption in patients needle aspiration showed a my. As the age of the granulomatous reaction to implant increases, so does with silicone prostheses birefringent material with the risk of silicone leaking. presenting with an axillary mass. predominance of foreign This is responsible for body giant cells in a lym- most local complications phoid background. as well as for silicone mi- CONCLUSION: This report illustrates the usefulness of gration beyond breast tissues. Therefore, the num-

Journal

Acta Cytologica – Karger

Published: Jan 1, 2011

Keywords: breast implantation; granuloma; silicones; axilla; lymph nodes; aspiration biopsy

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