Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
Otolaryngology & Radiology Department, Sunderland Royal Hospital, Sunderland, UK.
BMJ Case Rep. 2021 Mar 3;14(3):e239395. doi: 10.1136/bcr-2020-239395.
We report a case of a 54-year-old woman with saline-based breast implants who presented to the ear, nose and throat neck lump clinic with a 2-week history of bilateral neck lumps. She was found to have multiple palpable cervical lymph nodes bilaterally in levels IV and Vb. The ultrasonography demonstrated multiple lymph nodes with the snowstorm sign and a core biopsy confirmed a silicone granuloma (siliconoma). This granuloma was likely caused by bleeding gel from the silicone shell of her saline-based implants. This case demonstrates the importance of bleeding gel from saline-based implants, in the absence of implant rupture. Thus, head and neck specialists should consider siliconomas as a cause for cervical lymphadenopathy in patients with saline-based breast implants.
我们报告了一例 54 岁的女性，她患有盐水型乳房植入物，因双侧颈部肿块出现两周而到耳鼻喉科就诊。她被发现双侧 IV 级和 Vb 级有多个可触及的颈部淋巴结。超声显示多个淋巴结有暴风雪征，经芯活检证实为硅酮肉芽肿（硅瘤）。这种肉芽肿可能是由她的盐水型植入物的硅胶外壳中的出血凝胶引起的。在没有植入物破裂的情况下，这种情况表明了来自盐水型植入物的出血凝胶的重要性。因此，头颈部专家应考虑硅瘤是盐水型乳房植入物患者颈部淋巴结病的原因。
