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Contralateral Internal Mammary Lymphadenopathy Mimicking Metastasis in a Patient with a History of Breast Cancer and Prior Interstitial Mammoplasty by Paraffin Injection: MRI, PET-CT, and Pathological Findings

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주제분류방사선과학

초록

Foreign body injections into breasts may produce foreign body reactions, fibrosis, and local swelling of involved lymph nodes, which can be misdiagnosed as metastasis or malignancy. Here, the authors report MR imaging, PET-CT imaging, and pathologic findings of contralateral internal mammary lymphadenopathy suspicious of breast cancer metastasis in a 58-year-old woman with history of left breast cancer, and previous interstitial mammoplasty by paraffin injection in both breasts.

Abstract

Foreign body injections into breasts may produce foreign body reactions, fibrosis, and local swelling of involved lymph nodes, which can be misdiagnosed as metastasis or malignancy. Here, the authors report MR imaging, PET-CT imaging, and pathologic findings of contralateral internal mammary lymphadenopathy suspicious of breast cancer metastasis in a 58-year-old woman with history of left breast cancer, and previous interstitial mammoplasty by paraffin injection in both breasts.

참고문헌 (9)

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  3. Cheung YC, "Lumpy silicone-injected breasts: enhanced MRI and microscopic correlation", Clin Imaging, 26, pp.397~404 (2002)
  4. Yang WT, "Paraffinomas of the breast: mammographic, ultrasonographic and radiographic appearances with clinical and histopathological correlation", Clin Radiol, 51, pp.130~133 (1996)
  5. Erguvan-Dogan B, "Direct injection of paraffin into the breast: mammographic, sonographic, and MRI features of early complications", AJR Am J Roentgenol, 186, pp.888~894 (2006)
  6. Youk JH, "Diagnosis of breast cancer at dynamic MRI in patients with breast augmentation by paraffin or silicone injection", Clin Radiol, 64, pp.1175~1180 (2009)
  7. Collado-Mesa F, "Contralateral intramammary silicone lymphadenitis in a patient with an intact standard dual-lumen breast implant in the opposite reconstructed breast", J Radiol Case Rep, 7, pp.24~31 (2013)
  8. Gil T, "Contralateral internal mammary silicone lymphadenopathy imitates breast cancer metastasis", Ann Plast Surg, 63, pp.39~41 (2009)
  9. Soudack M, "Fluorodeoxyglucose--positive internal mammary lymph node in breast cancer patients with silicone implants:is it always metastatic cancer?", Eur J Cardiothorac Surg, 44, pp.79~82 (2013)

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