Asymptomatic silicone induced granulomatous disease diagnosed by endobronchial ultrasound with real-time guided transbronchial needle aspiration (EBUS-TBNA)

Therese Maria Henriette Naur; Uffe Bodtger; Rafi Nessar; Goran Nadir Salih; Paul Frost Clementsen

doi:10.1016/j.rmcr.2020.101102

Asymptomatic silicone induced granulomatous disease diagnosed by endobronchial ultrasound with real-time guided transbronchial needle aspiration (EBUS-TBNA)

Respir Med Case Rep. 2020 May 30:30:101102. doi: 10.1016/j.rmcr.2020.101102. eCollection 2020.

Authors

Therese Maria Henriette Naur¹, Uffe Bodtger^{1

2

3}, Rafi Nessar¹, Goran Nadir Salih¹, Paul Frost Clementsen^{1

4

5}

Affiliations

¹ Department of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
² Department of Respiratory Medicine, Naestved Hospital, Naestved, Denmark.
³ Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.
⁴ Copenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, Copenhagen, University of Copenhagen, Denmark.
⁵ Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Abstract

Silicone from ruptured breast implants can cause lung symptoms mimicking cancer. The diagnosis may be established by transbronchial lung biopsy or surgery. We report a case of asymptomatic silicone induced granulomatous reaction in the lungs and mediastinal lymph nodes diagnosed with EBUS-TBNA. We conclude that this differential diagnosis should be kept in mind even in an asymptomatic patients and that EBUS-TBNA should be considered.

Keywords: Endosonography; Granulomatous disease; Mediastinal lymph node; Silicone implants.

Publication types

Case Reports