Sentinel lymph node biopsy in a patient with ruptured poly implant prothese (PIP) implants: A case report
| Autor: | A. Jewkes, H. Tafazal, N.N. Basu |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Axillary lymph nodes medicine.diagnostic_test business.industry fungi Sentinel lymph node Context (language use) medicine.disease Article Surgery Medical grade silicone PIP implants chemistry.chemical_compound Breast cancer Silicone medicine.anatomical_structure Sentinel lymph node biopsy chemistry Biopsy Medicine Implant business Implant rupture |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2014.09.005 |
| Popis: | Highlights • We present the case of a lady with breast cancer requiring sentinel lymph node biopsy (SLNB) in the presence of ruptured PIP implants and imaging suggesting silicone granulomas. • SLNB can be successful in the context of concurrent PIP implant rupture. • SLNB as a procedure is possible in the presence of silicone granulomas in the axillary lymph nodes. Introduction Around 400,000 silicone gel breast implants produced by the French company poly implant prothese (PIP) were used worldwide. Following revelations that the company were using non- medical grade silicone for the production of their implants there has been growing concern over the increased rupture rate of these implants and the implications this may have on patients. Presentation of Case We report the case of a 57-year old lady with ruptured bilateral cosmetic PIP breast implants in whom a right breast lesion was detected on screening mammograms. Biopsies demonstrated a grade 1 tubular carcinoma. Histology from the sentinel lymph node biopsy showed axillary silicone granulomas but no evidence of metastatic disease. Discussion To our knowledge, this is the first reported case to describe SLNB in the presence of ruptured PIP implants, although SLNB in ruptured non-PIP implants has been previously described. Conclusion We conclude that SLNB can be utilised even in the context of concurrent PIP implant rupture and the presence of silicone granulomas in the axillary lymph nodes. |
| Databáze: | OpenAIRE |
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