Silicone granuloma from ruptured breast implants as a cause of cervical lymphadenopathy

Borghol, Khaled; Gallagher, George; Skelly, B L

doi:10.1308/rcsann.2016.0166

Cited by 15 publications

(15 citation statements)

References 4 publications

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“…There are numerous reported cases of silicone lymphadenopathy occurring in the mediastinum and axilla 8 9 12 but there are very few reported cases of silicone associated cervical lymphadenopathy. 5 6 13 Additionally, it is equally rare for saline-based implants to result in regional lymphadenopathy and this case highlights the importance of silicone gel bleeding from the outer silicone lining. Thus, for head and neck specialists it is an important differential diagnosis to consider in patients with any breast implants (since they contain a silicone outer shell).…”

Section: Discussionmentioning

confidence: 86%

Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation

2021

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We report a case of a 54-year-old woman with saline-based breast implants who presented to the ear, nose and throat neck lump clinic with a 2-week history of bilateral neck lumps. She was found to have multiple palpable cervical lymph nodes bilaterally in levels IV and Vb. The ultrasonography demonstrated multiple lymph nodes with the snowstorm sign and a core biopsy confirmed a silicone granuloma (siliconoma). This granuloma was likely caused by bleeding gel from the silicone shell of her saline-based implants. This case demonstrates the importance of bleeding gel from saline-based implants, in the absence of implant rupture. Thus, head and neck specialists should consider siliconomas as a cause for cervical lymphadenopathy in patients with saline-based breast implants.

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Section: Discussionmentioning

confidence: 86%

Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation

2021

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“…Presence of extracellular implant in the form of amorphous glassy material is an important clue to the diagnosis. 9,10 Filariasis is an endemic parasitic disease in coastal parts of India. Wuchereria Bancroft is the causative agent in the majority of cases.…”

Section: Resultsmentioning

confidence: 99%

Utility of Fnac in Uncommon Inflammatory and Reactive Lesions of Breast: An Unsuspected Clinical Scenario

Rajyalakshmi¹,

Akhtar²,

Bhaskar³

et al. 2018

jebmh

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BACKGROUND Fine Needle Aspiration Cytology (FNAC) has become an invaluable tool in the preoperative evaluation of the breast lumps and is a part of initial screening by triple assessment approach. Its main purpose is to differentiate benign lesions from malignant lesions. However inflammatory lesions of the breast are relatively uncommon benign breast lesions and can be of an abnormal finding on imaging. These lesions form palpable lumps and simulate a malignant process, both clinically and radiologically. Core biopsies may not help in the diagnosis of inflammatory lesions and are not necessary in most of these cases. Here, the present study aims to highlight the importance of FNAC in the diagnosis of inflammatory lesions of the breast. MATERIALS AND METHODS The present study was a prospective study conducted in Government General Hospital, Rangaraya Medical College, Kakinada, for a period of one year from July 2017 to June 2018. A total number of 591 female patients with palpable breast lumps were subjected to FNAC. Ten cases out of 591 were showed clinical and radiological discrepancies. Aspirated smears were studied microscopically, and final diagnosis was made after assessment by two pathologists. All ten cases were followed up for six months to assess the response to therapy.

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“…Silicone implants are widely used in Europe and the USA for cosmetic purpose. Silicone was initially considered as an inert substance; but was later found to be associated with symptoms like dyspnea, cough, fever, hypoxia, granuloma formation, lymphadenopathy and autoimmune conditions such as connective tissue disorders, fibromyalgia and pulmonary pathologies 5 7 8. These symptoms were described in 2011 by Schoenfeld et al as autoimmune/inflammatory syndrome induced by adjuvants 8 9.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary fibrosis and embolism secondary to silicon implant leak

Azeem¹,

Khuwaja²,

Parthvi

et al. 2019

BMJ Case Rep

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Pulmonary fibrosis in a patient with history of ruptured silicone breast implants may present a therapeutic challenge to diagnose and treat. In this case report, we aim to discuss our experience in diagnosing a patient with chronic silicone embolism syndrome masquerading as refractory multifocal pneumonia that presented with respiratory failure. A young woman with no significant past exposure having recurrent admissions to the hospital due to fever and shortness of breath was found to have chronic silicone embolism with pneumonitis. This case report emphasis the prompt diagnosis and treatment of silicone induced fibrosis and approach to the most common side effects of breast implants.

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Silicone granuloma from ruptured breast implants as a cause of cervical lymphadenopathy

Cited by 15 publications

References 4 publications

Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation

Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation

Utility of Fnac in Uncommon Inflammatory and Reactive Lesions of Breast: An Unsuspected Clinical Scenario

Pulmonary fibrosis and embolism secondary to silicon implant leak

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