title: Axillary Silicone Granulomas in Patients With Melanoma.
abstract: Subcutaneous lesions may be detected during follow-up of patients with melanoma. The main entities that should be contemplated in the differential diagnosis in such cases are in-transit and regional lymph node metastases. We describe 2 cases of women with breast implants who developed palpable subcutaneous lesions in the axillary region during follow-up of melanoma. In both cases, the ultrasound study showed diffuse hyperechoic signals forming the characteristic snowstorm sign in the subcutaneous tissue. Ultrasound proved to be a key diagnostic tool for ruling out melanoma-related disease, such as in-transit metastases and regional lymph node metastases.
authors.affiliation: Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España. Electronic address: inesbier@gmail.com.
authors.forename: M I
authors.initials: MI
authors.lastname: Fernández Canedo
authors.affiliation: Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España.
authors.forename: N
authors.initials: N
authors.lastname: Blázquez Sánchez
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Costa del Sol, Marbella, Málaga, España.
authors.forename: P
authors.initials: P
authors.lastname: Valdés Solís
authors.affiliation: Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España.
authors.forename: M
authors.initials: M
authors.lastname: de Troya Martín
mesh_terms: D001365:Axilla; D018427:Breast Implants / Q000009:adverse effects*; D005260:Female; D015745:Granuloma, Foreign-Body / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008545:Melanoma / Q000150:complications*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D012828:Silicones / Q000009:adverse effects*; D012878:Skin Neoplasms / Q000150:complications*; D014463:Ultrasonography
chemical_list: D012828:Silicones
keywords: Breast implant; Ecografía, Siliconoma; Melanoma; Prótesis mamaria; Silicone granuloma; Ultrasound