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Sonographic features with histologic correlation in two cases of palpable breast cancer after breast augmentation by liquid silicone injection
Author(s) -
Cheung YunChung,
Lee KamFai,
Ng ShuHang,
Chan SiuCheung,
Wong Alex MunChing
Publication year - 2002
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10110
Subject(s) - medicine , silicone , echogenicity , radiology , fibroadenoma , biopsy , mammography , breast cancer , mammary gland , carcinosarcoma , carcinoma , cancer , ultrasound , pathology , chemistry , organic chemistry
Abstract Sonography is rarely used to evaluate the breasts in patients who have undergone liquid silicone injections for breast augmentation because strong acoustic shadowing from the resulting silicone granulomas hampers the examination. We report on 2 patients who underwent silicone injection 18 and 20 years earlier and in whom breast cancers (1 invasive ductal carcinoma and 1 carcinosarcoma) were diagnosed by sonographically guided core‐needle biopsy. On sonograms, both cancers had a peripheral hypoechoic rim surrounding an echogenic center. The echogenic center corresponded histologically to a silicone granuloma in 1 patient and to a large area of necrosis in the other; the hypoechoic rims corresponded to areas of cancer in both patients. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30: 548–551, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10110