title: Axillary lipogranuloma mimicking carcinoma metastasis after silicone breast implant rupture: a case report.
abstract: Silicone-gel-filled breast implants have been widely used for breast augmentation and reconstruction after mastectomy. However, silicone implants have some well-known complications, such as implant rupture, which requires surgical intervention. Dissemination of silicone particles out of the implant causes a granulomatous reaction, a phenomenon known as silicone granuloma, in breast parenchyma as well as axillary, breast and chest wall lymph nodes, which mimics breast cancer metastasis. However, lipogranuloma after silicone breast implant rupture has not been reported in the literature, although it is a common complication after mineral oil or liquid silicone injection. We present a case report of an axillary lymphadenopathy resulting from lipogranuloma after silicone-gel-filled implant rupture. Review of the literature suggests that this is the first report of a lipogranuloma resulting from implant rupture.
authors.affiliation: Necmettin Erbakan Üniversity, Department of Plastic, Aesthetic and Reconstructive Surgery, Akyokus, Meram, 42080 Konya, Turkey. ozlemgundes@hotmail.com
authors.forename: A Ozlem
authors.initials: AO
authors.lastname: Gundeslioglu
authors.forename: Sibel
authors.initials: S
authors.lastname: Hakverdi
authors.forename: Ozlem
authors.initials: O
authors.lastname: Erdem
authors.forename: E Cigdem
authors.initials: EC
authors.lastname: Ozen
authors.forename: Irfan
authors.initials: I
authors.lastname: Inan
authors.forename: Dilek
authors.initials: D
authors.lastname: Emlik
mesh_terms: D000328:Adult; D001365:Axilla / Q000473:pathology; D001707:Biopsy, Needle; D019928:Breast Implantation / Q000009:adverse effects* / Q000379:methods; D018427:Breast Implants; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D015745:Granuloma, Foreign-Body / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D015412:Mastectomy, Segmental / Q000379:methods; D009362:Neoplasm Metastasis; D003557:Phyllodes Tumor / Q000556:secondary / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D012422:Rupture, Spontaneous / Q000150:complications; D020034:Silicone Gels / Q000009:adverse effects
chemical_list: D020034:Silicone Gels