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Granulomatous reaction to silicone in axillary lymph nodes. A case report with cytologic findings
A Santos-Briz1, F López-Ríos, A Santos-Briz
1Department of Pathology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Acta Cytologica
|December 1, 1999
Abstract
Background:
Silicone lymphadenopathy is a rare complication in patients with breast implants and is often confused with metastases from breast carcinoma.
Case:
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.
Conclusion:
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.