Code |
Diagnosis |
Comment |
Score |
anonymous |
Foreign body reaction consistent with breast implant material (100%)
|
nil
|
95 |
anonymous |
foreign body with foreign body granuloma reaction
|
nil
|
95 |
anonymous |
Foreign body granulomatous inflammation 100%. The foreign body material is morphologically compatible with polyacrylamide hydrogel.
|
Polyacrylamide hydrogel has been used for breast augmentation, by direct injection into the breast tissue. Detail clinical history is of paramount importance. The differential diagnosis is mucinous carcinoma. Complete excision and processing of the whole 2 cm mass for thorough histologic examination is necessary.
Special studies: Mucicarmine stain (to confirm the material is in fact not mucin), and a cytokeratin stain to confirm absence of any occult malignant epithelial cells.
|
100 |
anonymous |
Foreign body reaction to breast augmentation material, most likely PAAG
|
nil
|
100 |
anonymous |
Favor FOREIGN BODY REACTION 70% vs MUCOCELE-LIKE TUMOR 30%.
|
Definitive diagnosis can be established easily by correlation with any history of foreign body injection eg. breast augmentation.
If that history is negative, the diagnosis is MUCOCELE-LIKE TUMOR, and throughout sampling should be done to exclude atypical hyperplasia, DCIS or mucinous carcinoma. Furthermore, the mucin nature of the extravasated material can be confirmed by mucin stains.
|
95 |
anonymous |
Foreign body reaction against amorphous purplish material. (100%)
|
PAAG needs to be excluded.
|
100 |
anonymous |
Breast - foreign body giant cell reaction 100%
|
PAAG is the likely foreign material introduced into the breast.
|
100 |
anonymous |
Mucinous lesion, consistent with mucocele-like lesion, complete excision with extensive sampling to rule out mucinous carcinoma
|
Immunohistochemical study for epithelial cell marker (CK) to detect tiny epithelial island floating in the mucin pools.
|
50 |
anonymous |
Paraffinoma 100%
|
nil
|
90 |
anonymous |
Foreign body granulomatous inflammatory process related to breast augmentation procedure.
|
nil
|
95 |
anonymous |
Foreign body consistent with polyacrylamide hydrogel injection 100%
|
nil
|
100 |
anonymous |
Foreign body reaction to gel mammoplasty, probably PAAG 100%
|
nil
|
100 |
anonymous |
Foreign body reaction, likely to PAAG
|
Need correlation with history
|
100 |
anonymous |
Foreign body granulomatous reaction--?silicone
|
nil
|
90 |
anonymous |
Foreign body, suggestive of polyacrylamide hydrogel injection. 100% Probability
|
nil
|
100 |
anonymous |
Foreign body giant cell reaction, likely reaction to implant material; no malignancy (100%).
|
Correlation with clinical history.
|
95 |
anonymous |
Foreign body reaction.
|
Need to exclude previous history of breast augmentation.
|
95 |