Avgeri Caroline-Theodora, Sideris Giorgos, Margaris Ioannis, Tapponi Laith
ENT Department, Royal Free London NHS Foundation Trust, London, GBR.
2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Cureus. 2023 Dec 13;15(12):e50453. doi: 10.7759/cureus.50453. eCollection 2023 Dec.
A 66-year-old female patient, who had undergone breast augmentation 10 years ago, presented with unilateral neck pain, dysphagia, and hoarseness. Subsequent imaging revealed right-sided supraclavicular and axillary lymphadenopathy and a breast implant rupture on the same side. A lymph node core biopsy under sonographic guidance revealed silicone lymphadenopathy. Implant extirpation was offered to the patient. Cervical lymphadenopathy warrants an initial workup to exclude sinister chronic inflammatory or malignant conditions. Nonetheless, in cases of diagnostic uncertainty and a history of breast augmentation, the otolaryngologist should be cognizant of distal silicone lymphadenopathy. This condition is associated with silicone leakage and lymphatic dissemination of silicone particles. Even though silicone-related granuloma formation is a rare entity, its incidence is slowly rising as the population that has undergone breast augmentation grows older.
一名66岁女性患者，10年前接受过隆胸手术，现出现单侧颈部疼痛、吞咽困难和声音嘶哑。随后的影像学检查显示右侧锁骨上和腋窝淋巴结肿大，且同侧乳房植入物破裂。超声引导下的淋巴结核心活检显示为硅胶性淋巴结病。建议患者进行植入物摘除术。颈部淋巴结肿大需要进行初步检查以排除严重的慢性炎症或恶性疾病。然而，在诊断存在不确定性且有隆胸病史的情况下，耳鼻喉科医生应认识到远端硅胶性淋巴结病。这种情况与硅胶泄漏及硅胶颗粒的淋巴扩散有关。尽管硅胶相关肉芽肿的形成是一种罕见情况，但随着接受隆胸手术的人群年龄增长，其发病率正在缓慢上升。
