Herzog P, Exner K, Lemperle G, Walther D, Lange H P, Holtermüller K H
1. Medizinische Klinik, St.-Markus-Krankenhaus, Frankfurt.
Dtsch Med Wochenschr. 1989 Jul 28;114(30):1157-60. doi: 10.1055/s-2008-1066734.
Ultrasound examination of the breast and its lymphatic drainage was undertaken in 78 patients who--after mammoplasty with silicone implants--had palpable lymph nodes, pain and sensation of tension in the area surrounding the implant. Five patients had space-occupying echo-dense inner structures and dense echos from structures dorsal to the space-occupying ones. In this way silicone granuloma could be demonstrated even preoperatively in tissues, musculature or lymph nodes, although the changes were palpable in only two of the five patients. Ultrasonography can thus be of great importance not only in the diagnosis but also in the preoperative localization of silicone-induced granulomas.
对78例患者进行了乳房及其淋巴引流的超声检查，这些患者在接受硅胶植入隆乳术后，可触及植入物周围区域的淋巴结、疼痛和张力感。5例患者有占位性的内部回声密集结构，以及占位性结构背侧结构的密集回声。通过这种方式，即使在术前也能在组织、肌肉或淋巴结中显示硅胶肉芽肿，尽管在这5例患者中只有2例可触及这些变化。因此，超声检查不仅在诊断中，而且在硅胶诱导肉芽肿的术前定位中都具有重要意义。
