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Updated: Mar 23, 2026

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Internal mammary silicone lymphadenopathy diagnosed by robotic thoracoscopic lymphadenectomy
Gary S Schwartz1, David Antoun2, Paula Klein3
1Division of Thoracic Surgery, Department of Surgery, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, 1000 10th Avenue, Suite 2B-07, New York, NY, 10019, USA. gschwart@chpnet.org.
Abstract:
Internal mammary lymphadenopathy can be caused by a variety of disease processes and is a difficult diagnostic dilemma. We report a case of internal mammary lymphadenopathy, in a patient with a significant history of malignancy, requiring a tissue diagnosis. Robotic thoracoscopic lymphadenectomy was used to facilitate excisional biopsy. Pathology was significant for silicone granulomatous lymphadenitis secondary to silicone breast implants inserted after mastectomy for breast cancer.
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