Silicone-induced lymphadenopathy in a patient suffering from mammary prosthesis: a case report

Authors

  • Germán García-Soto
  • Jorge Castaño
  • Ronald Smith-Meneses

DOI:

https://doi.org/10.18597/rcog.510

Keywords:

lymphadenopathy, silicone elastomers, breast implants, fine needle aspiration biopsy

Abstract

This is a case report of a 47-year old woman having no antecedents of disease, but a surgical history of silicone breast-implants 8 years beforehand. The patient’s complaint concerned the left axillary lymph nodes. A ganglion resection was done and fine needle aspiration biopsy (FNAB) revealed giant multinucleated cells having abundant cytoplasmatic vacuoles and polymorphonuclear lymphocytes leading to a diagnosis of silicon-induced adenopathy. The prosthesis was then removed and changed. Lymph node FNAB is able to diagnose silicone lymphadenopathy and excludes malignant neoplasm.

Author Biographies

Germán García-Soto

Ginecólo-Oncólogo, Profesor de Oncología Ginecológica. Universidad de Antioquia. Hospital Universitario San Vicente de Paúl. Medellín. Correo electrónico: gegar65@yahoo.com

Jorge Castaño

Patólogo, Profesor de Patología, Universidad de Antioquia.

Ronald Smith-Meneses

Residente de 3er año, Ginecología y Obstetricia. Universidad de Antioquia.

References

Morales-Ferrer G, Duarte-Torres RM. Linfadenopatía por silicón en una paciente con prótesis mamaria. Re-porte citológico de un caso. Rev Med Hosp Gen Méx 2004;67:208-10.

Gutiérrez L, Montes A. Siliconomas: Caso clínico. Rev Méd Chile 2002;130:793-4.

Santos-Briz A Jr, Lopez-Rios F, Santos-Briz A, De Agustin PP. Granulomatous reaction to silicone in axilary limph nodes. A case report with cytologic findings. Acta cytologic 1999;43:1163-5.

Austad ED. Breast implant-related silicone granulomas: the literature and the litigation. Plast Reconstr Surg 2002;109:1724-30.

Schmid A, Tzur A, Leshko L, Krieger BP. Silicone embolims syndrome: a case report, review of the literature, and comparison with fat embolism syndrome. Chest 2005;127:2276-81.

Vaamonde R, Cabrera JM, Vaamonde-Martin RJ, Jimena I, Marcos Matin J. Silicone granulomatous lymphadenopathy and siliconomas of the breast. Histology Histopathol 1997;12:1003-11.

Chen TH. Silicone injection granulomas of the breast: treatment by subcutaneous mastectomy and immediate subpectoral breast implant. Br J Plast Surg 1995;48:71-6.

Levine RL, Allen TC, Cartwrigth J Jr, Cagle PT. Silicone thorax due to a ruptured breast implant. Chest 2005;127:1854-7.

Tench D, Page D. Tumor primario desconocido que se presenta con adenopatía axilar. En: Copeland E. La mama, manejo multidisciplinario de las enfermedades benignas y malignas. Editorial Médica Panamericana; 2000. p. 1469-73.

Haynes B. Adenomegalias y esplenomegalia. En: Harrison. Principios de Medicina Interna. 12 edición. México: Editorial Interamericana; 1991. p. 419-25.

Holmich LR, Vejborg I, Conrad C, Sletting S, McLaughlin JK.The diagnosis of breast implant rupture: MRI findings compared with findings at explantation. Eur J Radiol 2005;53:213-25.

Holmich LR, Vejborg I, Conrad C, Sletting S, Hoier-Madsen M, Fryzek JP, et al. Untreated silicone breast implant rupture. Plast Reconstr Surg 2004;114: 204-14.

Scaranello AM, Marques AF,Smialowski EB,Lederman HM. Evaluation of the rupture of silicone breast implants by mamography, ultrasonography and magnetic resonance imaging in asymptomatic patients. Sao Paulo Med J 2004;122:41-7.

How to Cite

1.
García-Soto G, Castaño J, Smith-Meneses R. Silicone-induced lymphadenopathy in a patient suffering from mammary prosthesis: a case report. Rev. colomb. obstet. ginecol. [Internet]. 2006 Jun. 30 [cited 2024 May 18];57(2):113-6. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/510

Downloads

Download data is not yet available.

Published

2006-06-30
QR Code

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo