Cervical silicone lymphadenopathy

Latoni Kaysha Gilbert1, Janavikulam Thiruchelvam1

  • 1Royal Free London NHS Foundation Trust.

Insights

A rare case of cervical silicone lymphadenopathy was diagnosed in a patient with a history of cosmetic breast augmentation. Imaging and biopsy confirmed silicone accumulation in the neck lymph nodes.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Radiology
  • Pathology

Background:

  • Cosmetic breast augmentation is a common procedure.
  • Silicone implants can potentially lead to complications years after placement.
  • Cervical lymphadenopathy requires thorough differential diagnosis.

Observation:

  • A patient presented with a painless, ovoid neck mass.
  • The mass was located on the left side of the neck.
  • The patient had undergone cosmetic breast augmentation 10 years prior.

Findings:

  • Radiological imaging revealed findings consistent with lymphadenopathy.
  • Core biopsy examination confirmed the presence of silicone.
  • The diagnosis was established as cervical silicone lymphadenopathy.

Implications:

  • This case highlights a rare but possible long-term complication of silicone breast implants.
  • It underscores the importance of considering implant-related complications in patients with unexplained lymphadenopathy.
  • Accurate diagnosis through imaging and biopsy is crucial for appropriate patient management.