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Inadvertent Injection of a Breast Implant During Lymphoscintigraphy

Manganaro, Mark S., BS*; Millet, John D., MD, MHS; Manganaro, Matthew S., MD†‡

doi: 10.1097/RLU.0000000000002511
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A 34-year-old woman with history of bilateral saline implants, invasive ductal carcinoma of the right breast, and suspicious left breast calcifications was referred for left breast lymphoscintigraphy before bilateral mastectomy. A total of 3.2 mCi of 99mTc-filtered sulfur colloid was administered with 3 subdermal injections in the superior, lateral, and inferior periareolar left breast in the late afternoon preceding the day of surgery. Imaging identified radiotracer uptake within a dense, circular area deep to the injection sites within the left breast, compatible with implant puncture and radiotracer administration within the indwelling breast implant.

From the *Lake Erie College of Osteopathic Medicine, Erie, PA;

Department of Radiology, Michigan Medicine; and

Department of Nuclear Medicine, VA Ann Arbor Healthcare, Ann Arbor, Ann Arbor, MI.

Received for publication January 7, 2019; revision accepted January 16, 2019.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Matthew S. Manganaro, MD, Department of Radiology, Michigan Medicine, B1G 505G University Hospital, 1500 E Medical Center Dr, Ann Arbor, MI 48109-0028. E-mail:

Online date: May 4, 2019

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