Extensive silicone lymphadenopathy after breast implant insertion mimicking malignant lymphadenopathy

Youngseok Lee; Sung Eun Song; Eul-Sik Yoon; Jeoung Won Bae; Seung Pil Jung

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저자정보: Youngseok Lee (Korea University College of Medicine) Sung Eun Song (Korea University College of Medicine) Eul-Sik Yoon (Korea University College of Medicine) Jeoung Won Bae (Korea University College of Medicine) Seung Pil Jung (Korea University College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.93 No.6

발행연도: 2017.12

수록면: 331 - 335 (5page)

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Silicone implants are widely used in aesthetic and reconstructive breast surgery. Silicone lymphadenopathy is a wellknown rare complication of implant insertion. Silicone leakage from a rupture or silicone bleeding can accumulate in lymph nodes. Foreign body reactions in the affected lymph nodes may be misdiagnosed as metastasis or malignant lymphadenopathy upon initial presentation if silicone lymphadenopathy is not considered in the initial diagnosis. We report a case of siliconoma with extensive involvement of multiple lymph nodes mimicking malignant features to emphasize that clinicians should carefully evaluate each patient’s medical history and disease status during differential diagnosis.

#Breast #Lymphadenopathy #Silicones

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참고문헌 신청

Gidengil CA, Predmore Z, Mattke S, van Busum K, Kim B. Breast implant-associated anaplastic large cell lymphoma: a systematic review. Plast Reconstr Surg 2015;135:713-20. Cook PD, Osborne BM, Connor RL, Strauss JF. Follicular lymphoma adjacent to foreign body granulomatous inflammation and fibrosis surrounding silicone breast prosthesis. Am J Surg Pathol 1995;19:712-7. Gundeslioglu AO, Hakverdi S, Erdem O, Ozen EC, Inan I, Emlik D. Axillary lipogranuloma mimicking carcinoma metastasis after silicone breast implant rupture: a case report. J Plast Reconstr Aesthet Surg 2013;66:e72-5. Maxwell GP, Gabriel A. The evolution of breast implants. Clin Plast Surg 2009;36:1- 13, v. McLaughlin JK, Lipworth L, Murphy DK, Walker PS. The safety of silicone gel-filled breast implants: a review of the epidemiologic evidence. Ann Plast Surg 2007; 59:569-80.

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