Yun Ju Sik, Song Sang Yun, Na Kook Joo, Lee Cho Hee, Jeon Jae Beom
Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea.
Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
J Chest Surg. 2023 Jan 5;56(1):53-55. doi: 10.5090/jcs.22.038. Epub 2022 Sep 7.
Silicone granulomas are rare, benign lesions that may occur after breast augmentation. Occasionally, a careful differential diagnosis is necessary because lymphadenopathy or malignancy is suspected based on an imaging study. A 56-year-old woman who visited the hospital due to a lung nodule in the left upper lobe (LUL) underwent a staging work-up with the suspicion of lung cancer. Positron emission tomography/computed tomography and chest computed tomography revealed the LUL nodule and a lesion in the left internal mammary chain (IMC), suggesting lymphadenopathy. Diagnostic wedge resection was performed, followed by curative surgery. The final biopsy result confirmed that the LUL nodule was pathologic stage IB adenocarcinoma; unexpectedly, the lesion in the left IMC was a silicone granuloma.
硅酮肉芽肿是一种罕见的良性病变，可能在隆胸术后出现。偶尔，由于影像学检查怀疑有淋巴结病或恶性肿瘤，需要进行仔细的鉴别诊断。一名因左上叶肺结节到医院就诊的56岁女性，因怀疑肺癌接受了分期检查。正电子发射断层扫描/计算机断层扫描和胸部计算机断层扫描显示左上叶结节和左乳内链病变，提示淋巴结病。进行了诊断性楔形切除术，随后进行了根治性手术。最终活检结果证实左上叶结节为病理分期IB期腺癌；出乎意料的是，左乳内链的病变是硅酮肉芽肿。
