Radiological pitfall: Siliconoma in internal mammary lymph node mimics breast cancer recurrence

Steinke, Karin; Brook, Phillipa Anne; Ramuz, Olivier

doi:10.2484/rcr.v6i4.601

Cited by 9 publications

(10 citation statements)

References 13 publications

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“…On ultrasonography, silicone granuloma may show complex cystic lesions or a 'snowstorm appearance', depending on the amount of extravagated silicone gel and the extent of the fibrous and foreign-body reactions (1). Siliconomas in axillary, supraclavicular, or internal mammary lymph nodes may mimic the metastatic lymphadenopathy of breast cancer (7).…”

Section: Discussionmentioning

confidence: 99%

MR Findings of Breast Implant Rupture Presenting with Unusual Breast Enlargement

Park

Woo

Dhong

2018

Investig Magn Reson Imaging

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We report the case of a patient who presented with rupture of a silicone breast implant showing acute and chronic inflammation. Magnetic resonance imaging (MRI) showed silicone foci outside the implant shell and inside the pectoralis muscles that represented intra-and extracapsular ruptures of the implant and silicone granuloma. There were distinct fluid-fluid levels of various signal intensities and no signs of implant collapse such as 'linguine sign. ' Rather, we detected enlargement of both the implant shell and the breast.

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Section: Discussionmentioning

confidence: 99%

MR Findings of Breast Implant Rupture Presenting with Unusual Breast Enlargement

Park

Woo

Dhong

2018

Investig Magn Reson Imaging

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“…Jafnframt geta fundist með segulómun merki um frítt silíkon í eitlum, jafnvel svokallað silíkonoma. 29 Ómskoðun á eitlum á hálsi eða í holhönd geta sýnt svokallaðan snowstorm effect sem endurspeglar sílíkonagnir innan um eðlilegan vef. 30 Eitlar sem teknir eru til smásjárskoðunar sýna gjarnan ósértaekar bólgubreytingar, oft með "götum" eftir aðskotahluti (silíkon).…”

Section: Klínískar Rannsóknir í Asia-heilkenniunclassified

Autoimmune/inflammatory syndrome induced by aduvants

Sigurðardóttir¹,

SIgurjónsson²,

Þórarinsson³

et al. 2023

LBL

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For decades, breast implants have been available for breast reconstructions and breast augmentations to improve the patients’ health-related quality of life. Silicone implants (SI) have been used since the middle of the last century for breast reconstruction, for example after breast cancer, for birth defects, gender confirmation procedures, or for breast augmentation. Every year, several hundred SI are performed in Iceland for these purposes, but no central register is maintained. It can be estimated that at least 1000 - 3000 women have SI in Iceland and that around 300 Icelandic patients get SI every year. This informal review article discusses the so-called ASIA syndrome, the immunological effects of silicone and the possible relationship of SI to autoimmune diseases, symptoms, and diagnosis. In the methodology, this paper does not rely on the strict conditions of systematic reviews, but the authors relied only on peer-reviewed sources through PubMed, UpToDate and Scopus. The keywords used are silicon, silicon implant, silicon particles, immune response, autoimmunity, autoinflammation, Autoimmune/inflammatory syndrome induced by aduvants, ASIA, ASIA syndrome, breast implant illness. The paper reviews known facts about the disease, its characteristics, and statistical aspects.

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“…Silicone-sensitive MR imaging sequences may also help to differentiate IT metastatic disease from silicone lymphadenopathy (34). At least one study showed that concurrent metastases were relatively rare in a small group of patients with silicone lymphadenopathy (35); however, these nodes should be carefully watched over time, as the presence of silicone in a lymph node does not preclude synchronous BC metastases.…”

Section: Differential Diagnosismentioning

confidence: 99%

Internal Thoracic Lymphadenopathy in Breast Cancer

2017

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The internal thoracic (IT) nodal basin is a first-echelon drainage pathway in the breast, accounting for up to a quarter of its lymphatic drainage, primarily from the deep structures of the breast. The presence of internal thoracic node (ITN) metastases upstages the breast cancer (BC) patient to a minimum of clinical stage III disease. Medial tumors, deep tumors, young age, axillary nodal metastases, tumors of a high nuclear grade, lymphovascular invasion, and triple-negative hormone receptor status are predisposing factors for ITN metastases from primary BC. It has been observed that medial tumors carry a worse prognosis than lateral tumors when all other factors are equal, indicating that understaging of ITN has a significant impact on patient outcomes. Despite the established prognostic significance of IT adenopathy in BC, this nodal basin is not routinely staged due to the difficulty in accessing it and due to the controversy regarding its management. Since the initial ITN studies in the 1960s, improvement in imaging techniques and the availability of minimally invasive biopsy techniques have fueled renewed interest in ITNs and their clinical significance in BC. Radiologists who image and diagnose BC can offer more accurate staging assessments by consistently evaluating the IT nodal chain in the BC patient. In this article, the authors discuss current knowledge of the ITNs in BC and review ITN anatomy. The imaging appearance of pathologic ITNs using various modalities, potential mimics of IT adenopathy, and image-guided sampling techniques are described. A succinct discussion of the clinical management of ITN-positive BC and its challenges is also included. RSNA, 2017.

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Radiological pitfall: Siliconoma in internal mammary lymph node mimics breast cancer recurrence

Cited by 9 publications

References 13 publications

MR Findings of Breast Implant Rupture Presenting with Unusual Breast Enlargement

MR Findings of Breast Implant Rupture Presenting with Unusual Breast Enlargement

Autoimmune/inflammatory syndrome induced by aduvants

Internal Thoracic Lymphadenopathy in Breast Cancer

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