Sp. Roux et al., UNILATERAL AXILLARY ADENOPATHY SECONDARY TO A SILICONE WRIST IMPLANT - REPORT OF A CASE DETECTED AT SCREENING MAMMOGRAPHY, Radiology, 198(2), 1996, pp. 345-346
At routine screening mammography, asymmetrically enlarged left axillar
y lymph nodes were seen in a healthy 70-year-old woman. Ultrasound (US
)-guided fine-needle aspiration biopsy of the largest node revealed a
foreign body reaction. The patient recalled a previous silicone implan
tation in her wrist. On the basis of cytologic study, normal findings
of physical examination, and clinical history, a benign foreign body r
eaction to silicone implant material was diagnosed. Consideration of r
egional silicone lymphadenopathy is recommended in the differential di
agnosis of unilateral enlarged lymph nodes noted on mammograms. US-gui
ded fine-needle aspiration biopsy is a simple, rapid, inexpensive, and
relatively nontraumatic means of ruling out malignancy.