Granulomatous reaction to silicone in axillary lymph nodes. A case report with cytologic findings.
BACKGROUND
Silicone lymphadenopathy is a rare complication in patients with breast implants and is often confused with metastases from breast carcinoma.


METHODS
A 36-year-old female who had undergone bilateral breast augmentation six years earlier was referred for a mass in the left axilla. Fine needle aspiration showed a granulomatous reaction to birefringent material with predominance of foreign body giant cells in a lymphoid background.


CONCLUSIONS
This report illustrates the usefulness of fine needle aspiration in axillary nodes of patients with breast implants in ruling out malignancy and diagnosing implant disruption.
Santos-Briz
A
A
Department of Pathology, Hospital Universitario 12 de Octubre, Madrid, Spain.
López-Ríos
F
F
Santos-Briz
A
A
De Agustín
P P
PP
D000328:Adult; D001365:Axilla; D001707:Biopsy, Needle; D018427:Breast Implants / Q000009:adverse effects*; D001943:Breast Neoplasms / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008230:Lymphomatoid Granulomatosis / Q000139:chemically induced* / Q000473:pathology; D012828:Silicones / Q000009:adverse effects*
D012828:Silicones