Contralateral Intramammary Silicone lymphadenitis in a patient with an intact standard dual-lumen breast implant in the opposite reconstructed breast

Fernando Collado-Mesa, Monica Yepes, Purvi Doshi, Saleem A. Umar, Jose Net

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Silicone lymphadenopathy is a recognized complication of silicone gel implant rupture; the ipsilateral axillary lymph nodes are most commonly involved. We report imaging findings on a range of different imaging modalities and biopsy results in a case of biopsy-proven silicone lymphadenitis involving contralateral intramammary and axillary lymph nodes in a patient with an intact standard dual-lumen breast implant in the opposite reconstructed breast. This case demonstrates that in a patient with disrupted lymph drainage due to prior mastectomy and axillary node dissection for breast cancer treatment, silicone particles can migrate in a retrograde fashion via the ipsilateral internal mammary lymph nodes and reach not only the contralateral axilla but also the outer quadrants of the contralateral breast, even in the presence of an intact breast implant.

Original languageEnglish (US)
Pages (from-to)24-31
Number of pages8
JournalJournal of Radiology Case Reports
Volume7
Issue number11
DOIs
StatePublished - Dec 6 2013

Keywords

  • Breast
  • Implant
  • Lymphadenitis
  • Mastectomy
  • Silicone

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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