Intramammary melanoma micrometastasis within a silicone-implanted breast.

Publication date: Jul 02, 2021

We present the case of a 53-year-old woman with silicone breast implants who underwent excision of an abdominal melanoma and sentinel lymph node biopsy. Two lymph nodes were excised; both lying in the breast parenchyma adjacent to the intact right breast capsule. The lymph node histology revealed a subcapsular melanoma deposit along with silicone lymphadenopathy in the sentinel node. This case highlights that sentinel lymph nodes can be located in alternative locations to the common lymphatic basins and, therefore, the importance of preoperative lymphoscintigraphy. We also discuss subclinical breast implant rupture as a causative factor for silicone lymphadenopathy.

Concepts Keywords
Breast Medical specialties
Lymphadenopathy Clinical medicine
Preoperative Lymphology
Silicone Breast surgery
Year Breast cancer
Oncology
Sentinel lymph node
Micrometastasis
Lymph node biopsy
Melanoma

Semantics

Type Source Name
disease MESH melanoma
pathway KEGG Melanoma
disease MESH micrometastasis
disease MESH biopsy
disease MESH lymphadenopathy
disease MESH skin cancer

Original Article

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