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Radiol Case Rep. 2015 Nov 06;6(4):601. doi: 10.2484/rcr.v6i4.601. eCollection 2011.

Radiological pitfall: Siliconoma in internal mammary lymph node mimics breast cancer recurrence.

Radiology case reports

Karen Steinke, Phillipa Brook, Olivier Ramuz

PMID: 27307947 PMCID: PMC4900025 DOI: 10.2484/rcr.v6i4.601

Abstract

Siliconomas are rarely found in internal mammary lymph nodes in the context of ruptured, ipsilateral, silicone breast implants. However, they can sometimes cause a diagnostic dilemma, as in the presented case. We discuss the diagnostic pitfalls that can arise from misinterpreting a siliconoma for a metastatic lymph node, review the literature, and suggest appropriate diagnostic approaches.

Keywords: CT, computed tomography; MRI, magnetic resonance imaging; US, ultrasound

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