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Granulomatous Reaction to Silicone in Axillary Lymph Nodes

BACKGROUND
Silicone lymphadenopathy is a rare complication in patients with breast implants and is often confused with metastases from breast carcinoma.


CASE
A 36-year-old female who had undergone bilateral breast augmentation six years earlier was referred for a mass in the left axilla. Fine needle aspiration showed a granulomatous reaction to birefringent material with predominance of foreign body giant cells in a lymphoid background.


CONCLUSION
This report illustrates the usefulness of fine needle aspiration in axillary nodes of patients with breast implants in ruling out malignancy and diagnosing implant disruption.