Unilateral axillary adenopathy secondary to a silicone wrist implant: report of a case detected at screening mammography.
At routine screening mammography, asymmetrically enlarged left axillary lymph nodes were seen in a healthy 70-year-old woman. Ultrasound (US)-guided fine-needle aspiration biopsy of the largest node revealed a foreign body reaction. The patient recalled a previous silicone implantation in her wrist. On the basis of cytologic study, normal findings of physical examination, and clinical history, a benign foreign body reaction to silicone implant material was diagnosed. Consideration of regional silicone lymphadenopathy is recommended in the differential diagnosis of unilateral enlarged lymph nodes noted on mammograms. US-guided fine-needle aspiration biopsy is a simple, rapid, inexpensive, and relatively nontraumatic means of ruling out malignancy.
Roux
S P
SP
Breast Center, Long Beach Memorial Medical Center, Calif., USA.
Bertucci
G M
GM
Ibarra
J A
JA
Blatt
G
G
Ashworth
C R
CR
D000368:Aged; D001365:Axilla; D003937:Diagnosis, Differential; D005260:Female; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology*; D008327:Mammography; D019736:Prostheses and Implants / Q000009:adverse effects*; D012826:Silicone Elastomers / Q000009:adverse effects*; D014955:Wrist Joint / Q000601:surgery
D012826:Silicone Elastomers