Silicone lymphadenopathy: an unexpected cause of neck lumps

2012 ◽  
Vol 126 (9) ◽  
pp. 970-973 ◽  
Author(s):  
E Omakobia ◽  
G Porter ◽  
S Armstrong ◽  
K Denton
Keyword(s):  
Lymph Nodes ◽  
Breast Augmentation ◽  
English Language ◽  
Breast Implant ◽  
Excisional Biopsy ◽  
Needle Aspiration ◽  
Lymph Node Involvement ◽  
Supraclavicular Lymph Nodes ◽  
Node Involvement ◽  
Needle Aspiration Cytology

AbstractObjective:To report a rare case of silicone lymphadenopathy solely affecting the left supraclavicular lymph nodes.Case report:Our patient presented with a painless swelling in the left supraclavicular region. Notably, she had previously undergone cosmetic breast augmentation using silicone-containing implants. Radiological imaging and subsequent excisional biopsy of the swelling produced findings consistent with a silicone foreign body reaction secondary to bilateral breast implant rupture.Conclusion:Silicone lymphadenopathy following breast augmentation primarily affects the axillary nodes. Supraclavicular lymph node involvement is unusual. To our knowledge, this is the first report in the English language literature of silicone lymphadenopathy manifesting solely in the supraclavicular lymph nodes. Although the need to exclude malignancy in such cases is of the utmost importance, silicone lymphadenopathy should also be considered in the differential diagnosis. Fine needle aspiration cytology is a useful initial investigation, which may be followed up by excisional biopsy and histological analysis for further confirmatory diagnostic information.

scholarly journals Ultrasound guided fine-needle aspiration biopsy of metastases in nonpalpable supraclavicular lymph nodes in lung cancer patients

2019 ◽  
Vol 6 ◽  
Author(s):  
Resat Kendirlinan ◽  
Gülcihan Özkan ◽  
Mehmet Bayram ◽  
Nur Dilek Bakan ◽  
Mehmet Tutar ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Cancer Patients ◽  
Needle Aspiration ◽  
Lymph Node Involvement ◽  
Supraclavicular Lymph Node ◽  
Lung Cancer Patients ◽  
Supraclavicular Lymph Nodes ◽  
Node Involvement

Background and objectives: To assess frequency and signifi- cance of enlarged nonpalpable supraclavicular lymph nodes with routine ultrasound (US) evaluation and US-guided fine- needle aspiration biopsy (FNAB) for the diagnosis and staging of patients with lung cancer. Materials and methods: 106 consecutive patients with lung cancer and nonpalpable supraclavicular lymph nodes were evaluated with cervical US for the presence of pathological lymph nodes. FNAB was performed in patients with nodes with short-axis > 5 mm, rounded shape and missing echogenic hilum. Results: 27 (25.5%) patients had enlarged supraclavicular lymph nodes on US. Fourteen patients (13.2%) had cytologically proven lymph node involvement. Supraclavicular lymph node metastasis was more frequent in patients with medi- astinal invasion (p = 0.0001) and patients with enlarged lymph nodes on upper paratracheal stations on thorax CT (p = 0.0001). No relation was found between supraclavicular lymph node involvement and T stage (p = 0.27), distant metastasis (p = 0.50) or histological type (p = 0.80). Three patients were upstaged from IIIA to IIIB status. US-guided FNAB was the only diagnostic method in 2 patients. Conclusion: US-guided FNAB is a simple and safe procedure which can document N3 stage of disease in lung cancer patients. Thereby more invasive and expensive diagnostic procedures can be avoided in selected lung cancer patients.

scholarly journals Causes and Presentation Of Cervical Lymphadenopathy

2018 ◽  
Vol 4 (2) ◽  
pp. 31-35
Author(s):  
Arifullah Bangash ◽  
Syed Zafar Hassan ◽  
Ghulam Muhammad
Keyword(s):  
Lymph Nodes ◽  
Teaching Hospital ◽  
Acute Inflammation ◽  
Cervical Lymphadenopathy ◽  
Excisional Biopsy ◽  
Descriptive Study ◽  
Lymph Node Involvement ◽  
Cervical Lymph Nodes ◽  
Node Involvement ◽  
Reactive Hyperplasia

OBJECTIVETo determine the proportion of cervical lymphadenopathy in systemic diseases, their presentation and investigative tools.METHODOLOGYThis descriptive study was carried out from 1st July 2014 to 30 June 2017 in ENT and head and neck department Naseer Teaching Hospital and Town Teaching Hospital, Peshawar. Total of 270 patients with enlarged cervical lymph nodes, of either sex and of any age were approached for inclusion into the study. Patients with suspected acute inflammation were given a trial of antibiotic and followed for two weeks were excluded from the study. Excisional biopsy of the lymph nodes was performed in all these patients with six weeks or more duration.RESULTSIn our study out of 270 patients, 158 (58.5%) were males and the majority of patients (63.3%) had ages from 11-40 years. Tuberculous cervical lymphadenopathy was diagnosed in 145 (53.7%) patients, reactive hyperplasia in 53 (19.6%), lymphoma in 32 (11.8 %,) metastasis to cervical lymph nodes in 30 (11.1%), sarcoidosis in 7 (2.6%) and other very rare conditions as Kawasaki, Kikuchie and Rosi Dorfman were found in only one of each (0.4%). About 136 (50.4%) of the patients had involvement of multiple lymph nodes while 134 (49.6%) had single swelling. The matted lymph nodes were found in 162 (60%) whereas discrete lymph nodes were found in only 108 (40%) cases. Cold abscess was found in 19 (7%) of patients.CONCLUSIONTuberculosis is the commonest cause of cervical lymphadenopathy, with the majority of these patients having multiple lymph node involvement. In children, usually cervical lymphadenopathy is reactive or infective while in older age mostly metastatic.

scholarly journals Fine needle aspiration cytology of palpable supraclavicular lymph nodes

1970 ◽  
Vol 1 (1) ◽  
pp. 8-12
Author(s):  
RC Adhikari ◽  
A Jha ◽  
G Sayami ◽  
G Shrestha ◽  
SK Sharma
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Supraclavicular Lymph Node ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Supraclavicular Lymph Nodes ◽  
Needle Aspiration Cytology

Background: Fine needle aspiration cytology as a first line of investigation has assumed importance in diagnosing a variety of disease process. The aim of this study was to assess the diagnostic value of fine needle aspiration cytology in the evaluation of palpable supraclavicular lymph nodes. Materials and methods: This was a retrospective study of fine needle aspiration cytology of palpable supraclavicular lymph node done between January 1, 2007 and December 31, 2009. Fine needle aspiration cytology was performed on 149 patients (49 cases at Om Hospital & Research Centre and 100 cases at Tribhuvan University Teaching Hospital). Results: The right supraclavicular lymph node was enlarged in 55% cases, while the left supraclavicular lymph node alone was palpable in 40.3% cases and in 7 of 149 (4.7%) cases, bilateral supraclavicular lymph nodes were palpable. Cytological diagnoses were categorized as reactive (8.7%), tuberculosis (41.6%), lymphoma (4.8%) and metastasis (44.9%). Of a total of 74 cases of malignancy, 90.5% were non-lymphoid and 9.5% were lymphoid (5 Non-Hodgkin lymphoma and 2 Hodgkin lymphoma). Of the 67 cases of metastatic disease, three major types of malignancy found in supraclavicular lymph nodes were Squamous cell carcinoma (28 cases), adenocarcinoma (21 cases) and others (small cell carcinoma, papillary thyroid carcinoma etc). Adenocarcinoma tended to metastasize to the left supraclavicular lymph node. Lung was the most common primary site (43.3%), followed by stomach, ovary, breast and larynx. However, in 28.4% cases, no primary site was found. Conclusion: The fine needle aspiration cytology can be used as a first line investigation in the evaluation of supraclavicular lymphadenopathy due to its low cost, simplicity and minimal invasiveness. Keywords: Supraclavicular lymph node; Fine needle aspiration cytology; Metastasis DOI: 10.3126/jpn.v1i1.4441 Journal of Pathology of Nepal (2011) Vol.1, 8-12  

Fine needle aspiration cytology of supraclavicular lymph nodes in gynecologic malignancies

1981 ◽  
Vol 11 (1) ◽  
pp. 89-95 ◽  
Author(s):  
B. Frederick Helmkamp ◽  
Bernd-Uwe Sevin ◽  
Shirley E. Greening ◽  
Mehrdad Nadji ◽  
Alan B.P. Ng ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Gynecologic Malignancies ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Supraclavicular Lymph Nodes ◽  
Needle Aspiration Cytology

scholarly journals Supraclavicular Lymphadenitis Following COVID-19

2021 ◽  
Author(s):  
Raid M. Al-Ani ◽  
Rasheed Ali Rashid
Keyword(s):  
Differential Diagnosis ◽  
Cervical Lymphadenopathy ◽  
Excisional Biopsy ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
First Case ◽  
Supraclavicular Lymph Nodes ◽  
Benign Nature ◽  
Needle Aspiration Cytology

Abstract IntroductionCervical lymphadenopathy in children is a common problem in daily clinical practice. Many cases of cervical lymphadenopathy after the COVID-19 vaccine were reported. However, there is no yet reporting a case of supraclavicular cervical lymphadenopathy as a result of COVID-19.Case presentationA 12-years-old girl presented with fever, cough, fatigue, anosmia, and ageusia. COVID-19 was confirmed by real-time PCR. The symptoms were resolved within 10 days. After 7 days, she complained of supraclavicular swelling. Physical examination revealed painless, multiple, and mobile supraclavicular lymph nodes. Ultrasound and fine-needle aspiration cytology were suspicious. Therefore, an excisional biopsy of the largest node was performed. The specimen was sent for histopathology and immunohistochemistry evaluation which confirmed the benign nature of the lymph node.ConclusionTo our best knowledge, this is the first case of supraclavicular lymphadenopathy in a child with COVID-19. It is essential to put COVID-19 in the differential diagnosis of cervical lymphadenopathy.

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