Journal
CLINICAL NUCLEAR MEDICINE
Volume 46, Issue 2, Pages 140-141Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RLU.0000000000003422
Keywords
F-18-FDG; breast cancer; PET/CT; silicone granulomas; siliconomas
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A 45-year-old woman with a history of breast cancer underwent breast reconstruction surgery with silicone implant, and several years later, PET/CT scan revealed F-18-FDG-avid nodules in the area of the implant, in the right internal mammary chain, and in the contralateral breast. Biopsies confirmed the presence of silicone granulomas in both breasts, without any signs of malignancy. This case highlights the intense F-18-FDG uptake in silicone granulomas affecting the contralateral breast after implant reconstruction.
We report the case of a 45-year-old woman with a history of right breast reconstruction with silicone implant for breast cancer. An F-18-FDG PET/CT performed several years later revealed the presence of F-18-FDG-avid nodules at the periphery of the silicone implant, in the right internal mammary chain, and in the contralateral breast. Needle core biopsies were positive for bilateral silicone granulomas, without any sign of malignancy. This case displays intense F-18-FDG uptake in silicone granulomas affecting the contralateral breast after implant reconstruction.
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