Breast Oncology Service, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan
Breast Oncology Service, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
BMJ Case Rep. 2021 Sep 21;14(9):e242742. doi: 10.1136/bcr-2021-242742.
The main concern after breast augmentation with silicone injection is that silicone granulomas make it difficult to detect breast cancer. A case of breast cancer was diagnosed using colour Doppler ultrasound (CD) to detect an non-palpable mass not presenting as a hypoechoic mass lesion. An 83-year-old woman was incidentally found to have a lesion in her right breast, which was injected with silicone, showing 18F-fluorodeoxyglucose (FDG) uptake; the lesion was suspected to be breast cancer or silicone granuloma. A mass at the FDG uptake site was not detected on ultrasonography (US); however, observation using CD revealed a slightly hypoechoic area with hypervascularity. Core needle biopsy showed invasive ductal carcinoma. Patients in whom US does not reveal lesions after breast augmentation with silicone injection should undergo CD to detect hypervascularised tissue. To prevent false-negative biopsy results, CD is essential to detect cancer at suspected sites.
硅酮注射隆胸后主要关注的问题是硅酮肉芽肿使乳腺癌难以检出。我们通过彩色多谱勒超声（CD）检测到一个不可触及的肿块，该肿块未表现为低回声肿块病变，从而诊断出一例乳腺癌。一名 83 岁女性偶然发现右侧乳房有一个病变，该乳房曾被注入硅酮，18F-氟脱氧葡萄糖（FDG）摄取显示有摄取；病变被怀疑是乳腺癌或硅酮肉芽肿。超声（US）未发现 FDG 摄取部位有肿块；然而，CD 观察显示出一个稍低回声区，伴有丰富的血流。芯针活检显示为浸润性导管癌。硅酮注射隆胸后 US 未显示病变的患者应进行 CD 检查以检测富含血管的组织。为了防止活检结果出现假阴性，CD 对于检测可疑部位的癌症至关重要。
