A Case of Breast Cancer Complicated with Silicone Granuloma after Breast Augmentation

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  • OYA Mariko
    Department of Breast Surgery, Dokkyo Medical University Saitama Medical Center
  • OGAWA Toshihisa
    Department of Breast Surgery, Dokkyo Medical University Saitama Medical Center
  • TSUJI Ei-ichi
    Department of Breast Surgery, Dokkyo Medical University Saitama Medical Center
  • HAYASHIBARA Noriaki
    Department of Breast Surgery, Dokkyo Medical University Saitama Medical Center
  • FUJII Akiko
    Department of Diagnostic Pathology, Dokkyo Medical University Saitama Medical Center

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Other Title
  • 豊胸術後のシリコン肉芽腫に併発した乳癌の1例
  • 症例 豊胸術後のシリコン肉芽腫に併発した乳癌の1例
  • ショウレイ ホウ キョウ ジュツゴ ノ シリコン ニクゲシュ ニ ヘイハツ シタ ニュウガン ノ 1レイ

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Abstract

<p>A 79-year-old woman was aware of a mass in her left breast and visited our hospital. On palpation, a 6 cm red tumor was observed in the left breast ABE area. She had previously undergone breast augmentation by silicone injection into both breasts. Ultrasonic examination revealed a slightly low-echoic, nonuniform mass image between the non-echo structures of silicone, and a core needle biopsy showed invasive carcinoma. MRI showed a contrast effect in the tumor and an axillary lymph node. Thoracoabdominal CT showed an enlarged tumor occupying the left breast with partial calcification. No distant metastasis was apparent. The patient underwent a total mastectomy with sentinel lymph node biopsy. Pathological analysis revealed a tumor in the silicone granuloma ; the tumor cells were similar to ones found in the needle biopsy. Silicone contamination was also found in the sentinel lymph node, but metastasis was not found. We experienced a breast cancer patient who had silicone granuloma after breast augmentation.</p>

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