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Silicone lymphadenopathy: an unexpected cause of neck lumps

Published online by Cambridge University Press:  07 June 2012

E Omakobia ,
G Porter ,
S Armstrong  and
K Denton
E Omakobia*
Affiliation:
Department of ENT, Southmead Hospital, Bristol, UK
G Porter
Affiliation:
Department of ENT, Southmead Hospital, Bristol, UK
S Armstrong
Affiliation:
Department of Radiology, Southmead Hospital, Bristol, UK
K Denton
Affiliation:
Department of Histopathology, Southmead Hospital, Bristol, UK
*
Address for correspondence: Dr Eugene Omakobia, ENT Clinical Fellow, ENT Department, Southmead Hospital, Bristol BS10 5NB, UK Fax: +44 (0)117 323 5850 E-mail: eugeneomakobia@doctors.org.uk
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Abstract

Objective:

To report a rare case of silicone lymphadenopathy solely affecting the left supraclavicular lymph nodes.

Case report:

Our patient presented with a painless swelling in the left supraclavicular region. Notably, she had previously undergone cosmetic breast augmentation using silicone-containing implants. Radiological imaging and subsequent excisional biopsy of the swelling produced findings consistent with a silicone foreign body reaction secondary to bilateral breast implant rupture.

Conclusion:

Silicone lymphadenopathy following breast augmentation primarily affects the axillary nodes. Supraclavicular lymph node involvement is unusual. To our knowledge, this is the first report in the English language literature of silicone lymphadenopathy manifesting solely in the supraclavicular lymph nodes. Although the need to exclude malignancy in such cases is of the utmost importance, silicone lymphadenopathy should also be considered in the differential diagnosis. Fine needle aspiration cytology is a useful initial investigation, which may be followed up by excisional biopsy and histological analysis for further confirmatory diagnostic information.

Keywords

Breast ImplantsMammoplastySiliconeLymphadenopathyNeck
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 970 - 973
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Truong, LD, Cartwright, J Jr, Goodman, MD, Woznicki, D. Silicone lymphadenopathy associated with augmentation mammoplasty. Morphologic features of nine cases. Am J Surg Pathol 1988;12:484–91CrossRefGoogle ScholarPubMed
2Christie, AJ, Weinberger, KA, Dietnich, M. Silicone lymphadenopathy and synovitis: complications of silicone elastomer finger joint prostheses. JAMA 1977;237:1463–4CrossRefGoogle ScholarPubMed
3Tabatowski, K, Elson, CE, Johnston, WW. Silicone lymphadenopathy in a patient with mammary prosthesis. Fine needle aspiration cytology, histology and analytical electron microscopy. Acta Cytol 1990;34:10–14Google Scholar
4Rivero, MA, Schwartz, DS, Mies, C. Silicone lymphadenopathy involving intramammary lymph nodes: a new complication of silicone mammoplasty. AJR Am J Roentgenol 1994;162:1089–90CrossRefGoogle Scholar
5Adams, ST, Cox, J, Rao, GS. Axillary silicone lymphadenopathy presenting with a lump and altered sensation in the breast: a case report. J Med Case Reports 2009;3:6442CrossRefGoogle ScholarPubMed
6Hausner, RJ, Schoen, FJ, Mendez-Fernandez, MA, Henly, WS, Geis, RC. Migration of silicone gel to axillary lymph nodes after prosthetic mammoplasty. Arch Pathol Lab Med 1981;105:371–2Google ScholarPubMed
7Van Diest, PJ, Beekman, WH, Hage, JJ. Pathology of silicone leakage from breast implants. J Clin Pathol 1998;51:493–7Google Scholar
8Kulber, DA, MacKenzie, D, Steiner, JH, Glassman, H, Hopp, D, Hiatt, JR et al. Monitoring the axilla in patients with silicone gel implants. Ann Plast Surg 1995;35:580–4CrossRefGoogle ScholarPubMed
9Kao, CC, Rand, RP, Holt, CA, Pierce, RH, Timmons, JH, Wood, DE. Internal mammary silicone lymphadenopathy mimicking recurrent breast cancer. Plast Reconstr Surg 1997;99:225–9CrossRefGoogle ScholarPubMed
10Shipchandler, TZ, Lorenz, RR, McMahon, J, Tubbs, R. Supraclavicular lymphadenopathy due to silicone breast implants. Arch Otolaryngol Head Neck Surg 2007;133:830–2CrossRefGoogle ScholarPubMed
11Santos-Briz, A Jr, Lopez-Rios, F, Santos-Briz, A, De Agustin, PP. Granulomatous reaction to silicone in axillary lymph nodes – a case report with cytologic findings. Acta Cytol 1999;43:1163–5Google Scholar