J Korean Radiol Soc.  2003 Nov;49(5):437-446. 10.3348/jkrs.2003.49.5.437.

Foreign Body Granuloma and Breast Cancer in the Augmented Breast: Mammography, US, MRI, and FDG-PET

• Kim HC
• Moon WK
• Cha JH
• Noh DY
• Chung JK
• Do KH
• Kim HH
• Yeo JS
• Chung SY
• Kim YJ
• Moon MH
• Im JG

• KMID: 2302564
• DOI: http://doi.org/10.3348/jkrs.2003.49.5.437

Abstract

The mammographic or physical evaluation of breast parenchymal abnormalities in the presence of radiopaque implants or silicone injections is difficult; mammography often fails to discriminate between breast cancer and a radiopaque dense breast. Although the sonographic evaluation of a palpable mass in an augmented breast may be impaired by the presence of posterior acoustic shadowing, the modality may be helpful in evaluating such masses, and dynamic contrast-enhanced MR imaging facilitates differentiation. FDG-PET is a possible alternative diagnostic tool for the evaluation of parenchymal lesions under these circumstances, but its drawbacks are its high cost and limited availability. The sensitivity and specificity of both FDG-PET and MRI can be improved by correlating their findings with those of radiological studies, and through an awareness of potential false-negative and false-positive causes.

MeSH Terms

Acoustics
Breast Neoplasms*
Breast*
Foreign Bodies*
Granuloma, Foreign-Body*
Magnetic Resonance Imaging*
Mammography*
Sensitivity and Specificity
Shadowing (Histology)
Silicones
Ultrasonography
Silicones