Foreign Body Granulomas of the Breast Presenting as Bilateral Spiculated Masses

  • Boo-Kyung Han (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yeon Hyeon Choe (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Young-Hyeh Ko (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Seok-Jin Nam (Department of General Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jung-Hyun Yang (Department of General Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2000.10.06
  • Accepted : 2001.02.09
  • Published : 2001.06.30

Abstract

In Asia, mammography following the injection of foreign materials into the breasts for cosmetic augmentation is frequently seen and diagnosis based on the typical radiologic findings is straightforward. We report the unusual radiologic findings in two patients with foreign body granulomas caused by injected foreign materials and discovered incidentally during screening work up. The mammographic findings were bilateral, hyperdense, spiculated masses, with occasional microcalcification, and at sonography, markedly hypoechoic, spiculated solid masses, located near the pectoralis muscle and partly extending into it, were observed. These radiologic findings mimicked malignancy.

Keywords

References

  1. Kopans DB. Breast Imaging, 2nd ed. Philadelphia : LippincottRaven, 1997:302-305 
  2. Rosenberg RF, Siegelman SS. Foreign-body granuloma simulating carcinoma on mammography. N Y State J Med 1976;76:445-446 
  3. Wakabayashi M, Reid JD, Bhattacharjee M. Foreign body granuloma caused by prior gunshot wound mimicking malignant breast mass. AJR 1999;173:321-322 
  4. Patrikeos A, Wylie EJ, Bourke A, Frost F. Imaging of carbon granulomas of the breast following carbon track localization. Clin Radiol 1998;53:845-848 
  5. Helbkch TH, Wunderbaldinger P, Plenk H, et al. The value of MRI in silicone granuloma of the breast. European J Radiol 1997; 24:155-158 
  6. Khong PL, Ho LWC, Chan JHM, Leong LLY. MR imaging of breast paraffinomas. AJR 1999; 173:929-932 
  7. Som PM, Curtin HD, eds. Head and Neck Imaging, 3rd ed. St. Louis: Mosby-Year Book, 1996: 1396-1398 
  8. Wilhelmus JL, Schrodt GR, Mahaffey LM. Cholesterol granulomas of the breast : a lesion which clinically mimics carcinoma. Am J Clin Pathol 1982; 77:592-597 
  9. Reynolds HE, Crame HM. Cholesterol granuloma of the breast: a mimic of carcinoma. Radiology 1994; 191: 249-250 
  10. Newstead GM, Weinreb JC. Critical pathways for the future: MR imaging and digital mammography. RadioGraphics 1995;15(4):951-962 
  11. Dao TH, Rahmouni A, Campana F, et al. Tumor recurrence versus fibrosis in the irradiated breast: differentiation with dynamic gadolinium-enhanced MR imaging. Radiology 1993; 187(3):751-755