Morales-Ferrer G, Duarte-Torres RM

Language: Spanish
References: 8
Page: 208-210
PDF size: 80.41 Kb.

ABSTRACT

A case of an enlarged axillary lymph node, clinically suspicious of being metastases of a breast carcinoma, non palpable, in a 45 years old woman is reported. The cytologic findings of the FNAB performed were: A proteinaceous background, erythrocytes, lymphoid cells in different stages of maturation, granulation tissue, mononucleated and giant multinucleated cells, foreign body type, with numerous intracytoplasmic vacuoles containing an homogeneous, and not birefringent material. A preliminary diagnoses of silicone lymphadenopathy was done and clinical data were investigated: The patient had had bilateral breast augmentation for cosmetic reasons 10 years prior to admission. Silicone lymphadenopathy is a clinical-pathologic entity that has been described in patients who received silicone prosthesis (gel and liquid forms, direct injection of silicon, arthroplasty, etc.); FNAB of lymph nodes draining the site of the prosthesis is diagnostic of silicone lymphadenopathy and suffices to exclude the presence of a malignant neoplasm, associated with such lesions in some patients.

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