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Supraclavicular Lymphadenopathy Due to Silicone Breast Implants
Taha Z. Shipchandler, MD;
Robert R. Lorenz, MD;
James McMahon, PhD;
Raymond Tubbs, DO
Arch Otolaryngol Head Neck Surg. 2007;133(8):830-832.
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INTRODUCTION
Silicone prosthesis for either joints or plastic surgical procedures, specifically breast augmentation, has been documented to cause enlargement in local lymph node groups.1-2 Inflammatory reactions in foreign bodies containing silicone have been noted within fine-needle aspiration (FNA) and/or histopathologic specimens of enlarged lymph nodes in the setting of silicone breast implants. As the population of women who have received silicone breast implants becomes older, greater incidence of implant leakage is expected.3 As a result, more women may present with local lymphadenopathy caused by silicone foreign body reaction.
Supraclavicular and axillary lymphadenopathy raises the suspicion of a chronic systemic, infectious, or neoplastic process. Our objectives were to demonstrate supraclavicular lymphadenopathy caused by disseminated silicone in a patient with a known history of silicone breast implants and to discuss FNA, histopathologic features, and management options.
REPORT OF A CASE
A 49-year-old woman . . . [Full Text of this Article]
COMMENT
AUTHOR INFORMATION
Author Affiliations: Head and Neck Institute (Drs Shipchandler and Lorenz) and Department of Pathology (Drs McMahon and Tubbs), Cleveland Clinic, Cleveland, Ohio.
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