Tabatowski K, Elson C E, Johnston W W
Department of Pathology, Duke University Medical Center, Durham, North Carolina.
Acta Cytol. 1990 Jan-Feb;34(1):10-4.
Fine needle aspiration biopsy of an enlarged axillary lymph node in a patient with an intact mammary prosthesis yielded a cellular sample in which there were numerous macrophages containing large cytoplasmic vacuoles, a picture suggestive of granulomatous inflammation of the foreign-body type. Subsequent excision of the lymph node confirmed the diagnosis. Analytical electron microscopy identified the foreign material as silicone. While the cytologic features of silicone lymphadenopathy are diagnostic in the appropriate clinical setting, excision of the lymph node may be advisable to exclude a concomitant malignant neoplasm.
对一名乳房假体完好的患者肿大的腋窝淋巴结进行细针穿刺活检，获得了一个细胞样本，其中有许多含有大细胞质空泡的巨噬细胞，这一表现提示为异物型肉芽肿性炎症。随后切除淋巴结证实了诊断。分析电子显微镜鉴定异物为硅酮。虽然在适当的临床情况下，硅酮淋巴结病的细胞学特征具有诊断意义，但切除淋巴结可能有助于排除同时存在的恶性肿瘤。
