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Progressive silicone lymphadenopathy post mastectomy and implant reconstruction for breast cancer
  1. Raphael Park Chae,
  2. Simon Chang-Hao Tsao,
  3. Caroline Blanche Baker and
  4. Jocelyn Lippey
  1. Breast Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia
  1. Correspondence to Dr Raphael Park Chae; rchaeatsvhm{at}gmail.com

Abstract

A 56-year-old woman with a 12-year history of recurrent triple-negative invasive carcinoma of the breast presented with progressive enlargement of lymph nodes in the setting of established rupture of the ipsilateral silicone breast implant. Although this was proven to be benign on cytology, its progressive nature led to repeated core biopsies for histology, which were necessary given the high-risk nature of triple-negative breast cancer and the multiple proven previous recurrences. The histology demonstrated features of silicone deposits without evidence of malignancy. This case demonstrates the dilemma in surveillance of high-risk patients with breast cancer who have had previous silicone lymphadenopathy.

  • breast cancer
  • radiology
  • oncology

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Footnotes

  • Contributors RPC: as the main author, I was responsible for collecting case notes, conducting literature review and writing the case report. SC-HT helped with editing the case report and verifying facts in literature review. He also provided guidance in writing the Discussion section. CBB helped with editing the case report, verifying facts in literature review and providing guidance in writing Discussion section. JL helped with editing the case report and verifying facts in literature review. She is also the main treating doctor for the patient. She made sure that the chronology of the patient’s case presentation was accurate.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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