tailieunhanh - Báo cáo y học: " Axillary silicone lymphadenopathy presenting with a lump and altered sensation in the breast: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Axillary silicone lymphadenopathy presenting with a lump and altered sensation in the breast: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Case report Axillary silicone lymphadenopathy presenting with a lump and altered sensation in the breast a case report Simon T Adams Julie Cox and G Sam Rao Open Access Address University Hospital of North Durham North Road Durham County Durham DH1 5TW UK Email STA - rpbgt@ JC - GSR - Corresponding author Published 10 March 2009 Received 31 January 2008 Journal of Medical Case Reports 2009 3 6442 doi I752-I947-3-6442 Accepted 22 January 2009 This article is available from http jmedicalcasereports article view 3 3 6442 2009 Adams et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Silicone lymphadenopathy is a rare but recognised complication of procedures involving the use of silicone. It has a poorly understood mechanism but is thought to occur following the transportation of silicone particles from silicone-containing prostheses to lymph nodes by macrophages. Case presentation We report of a case involving a 35-year-old woman who presented to the breast clinic with a breast lump and altered sensation below her left nipple 5 years after bilateral cosmetic breast augmentations. A small lump was detected inferior to the nipple but clinical examination and initial ultrasound investigation showed both implants to be intact. However mammography and magnetic resonance imaging of both breasts revealed both intracapsular and extracapsular rupture of the left breast prosthesis. The patient went on to develop a flu-like illness and tender lumps in the left axilla and right mastoid regions. An excision biopsy of the left axillary lesion and replacement of the ruptured implant was performed.