女   40

右腋下肿物1年，

查体：右腋下及腺体尾叶触及直径直径2.0cm肿物，质中，月周围界清，活动尚可

大体：组织3x2.5x1.0cm，其间见2个淋巴结，分别为1x0.8x0.8cm，0.6x0.5x0.4cm。

象窦组织细胞增生

该患者曾做过隆胸，结合病史病理诊断：硅酮性淋巴结病（阿克曼书上有一图非常相似）

学习了

在哪个章节？

学习。查查书。

硅酮性淋巴结病，详细说说呗！

阿克曼外科病理学第九版1965页

sillicone lymphadenopathy is very interesting.淋巴滤泡漂浮在泡沫样组织细胞的大海之中。

1.The use of flexible silastic drains after chest surgery: novel thoracic drainage.

[外文期刊] Hisashi, Ishikura Suguru, Kimura
The Annals of thoracic surgery 2006年81卷1期331-3页

摘要: We report a new strategy for drainage with silicon thoracic tube (Blake drain) after chest surgery.T...

2.[An unusual axillary lymph node].

[外文期刊] Guillaume, Granier Jean-Marie, Joujoux Philippe, Grès Denis, Vincent Christine, Pignodel Christiane, Marty-Double
Annales de pathologie 2004年24卷5期451-2页

3.Kikuchi's histiocytic necrotizing lymphadenitis associated with ruptured silicone breast implant.

[外文期刊] C E, Sever C P, Leith J, Appenzeller K, Foucar
Archives of pathology & laboratory medicine 1996年120卷4期380-5页

摘要: In this report we explore the relationship between Kikuchi's necrotizing lymphadenitis (Kikuchi-Fuji...

4.Unilateral axillary adenopathy secondary to a silicone wrist implant: report of a case detected at screening mammography.

[外文期刊] S P, Roux G M, Bertucci J A, Ibarra G, Blatt C R, Ashworth
Radiology 1996年198卷2期345-6页

摘要: At routine screening mammography, asymmetrically enlarged left axillary lymph nodes were seen in a h...

5.注射硅酮溶液致异物性肉芽肿1例

[期刊论文] 韩海成 王俊民 刘艳
中国皮肤性病学杂志2006年20卷10期585页 被引: 0

摘要: ...展.发病以来,一般情况好.既往体健.体检:系统检查无异常,全身浅表淋巴结无肿大.皮肤科情况:左眼外眦上方、右眼外眦下方各有一甲盖大小肿块,微红,表面光滑,质稍硬,与周围组织粘连,压之不痛.皮损组织病理...

6.Silicone lymphadenopathy involving intramammary lymph nodes: a new complication of silicone mammaplasty.

[外文期刊] M A, Rivero D S, Schwartz C, Mies
AJR. American journal of roentgenology 1994年162卷5期1089-90页

9.Prolonged fever due to silicone granulomatosis.

[外文期刊] Arnon, Blum Wisam, Abboud Ibrahim, Shajrawi Imad, Tatour
The Israel Medical Association journal : IMAJ 2007年9卷2期121-2页

10.隆胸术后腋窝淋巴结聚硅酮性淋巴结病一例

[期刊论文] 张景丽 张红英 步宏
中华病理学杂志2002年31卷04期366-367页 被引: 0

摘要: <篇首> 患者女,39岁.两年前患者发现左侧腋窝处无明显诱因出现无痛性包块,抗炎治疗无效于2001年10....术中见肿大淋巴结6枚,直径0.5～3.0 cm,切面灰白及灰黄色,质细嫩,临床诊断:腋窝淋巴结转移...

Kikuchi's histiocytic necrotizing lymphadenitis associated with ruptured silicone breast implant.

加入收藏夹 点击:1

In this report we explore the relationship between Kikuchi's necrotizing lymphadenitis (Kikuchi-Fujimoto disease, KD) and a leaky silicone breast implant.The simultaneous occurrence of KD and silicone lymphadenopathy in an axillary lymph node of a patient with a leaking silicone breast implant is reported. Since both KD and silicone implants have been implicated in autoimmune diseases, including systemic lupus erythematosus, serologic tests for antinuclear antibodies and rheumatoid factor were performed.Axillary lymph nodes showed both silicone lymphadenopathy, as well as classic morphologic and immunophenotypic features of KD. Screening tests for systemic autoimmune disorders were within normal range, suggesting that the unusual Kikuchi's-like immune reaction in one axillary lymph node was localized. The patient has no evidence of progressive immunologic disorders 3 years later. Subsequent lymph node biopsies showed silicone adenopathy with no evidence of KD.Our findings indicate that silicone compounds may be associated with transient abnormal immune reactions and lend further support to the hypothesis that KD represents an exuberant T-cell-mediated immune response to a variety of nonspecific stimuli.

学习了！谢谢