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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The patient was a 40-year-old woman with no past medical history of interest&#46; She consulted for painful breast lesions that had first appeared approximately 10 years earlier&#46; Physical examination revealed multiple indurated plaques and nodules covered by hyperpigmented skin&#44; deep depressed scars with retraction of the left nipple&#44; and fistulous tracts that drained a transparent material&#46; The lesions affected most of the skin of both breasts &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Magnetic resonance imaging with contrast showed the presence of numerous lesions in the form of nodular&#44; filiform&#44; and laminar lesions of different sizes&#44; occupying the whole of both breasts and also infiltrating the axillas and the chest wall &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Histopathology showed the whole of the dermis to be occupied by vacuoles of a foreign material surrounded by macrophages&#44; inflammatory cells&#44; and fibrosis &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Based on these findings&#44; a diagnosis of paraffinomas or oleogranulomatous mastitis was made&#46; On further questioning&#44; the patient stated that she had received injections of free silicone&#46; The differential diagnosis of this condition must include neoplastic diseases&#44; hidradenitis suppurativa of the breast&#44; and tuberculous mastitis&#46; The treatment of choice is extraction of all the affected tissue&#46; Our patient was therefore referred to the plastic surgery department for bilateral mastectomy and reconstruction&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">All filler materials are able to induce serious adverse reactions&#44; but in the case of nonabsorbable materials such as paraffin and liquid silicone&#44; these reactions can be permanent&#46;</p></span>"
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Images in Dermatology
Destructive Lesions of the Breast
Lesiones destructivas mamarias
M. González-Sabína,
Autor para correspondencia
martagonzalezsabin@gmail.com

Corresponding author.
, E. Rodríguez-Díaza, P. Gonzalvo-Rodríguezb
a Servicio de Dermatología, Hospital de Cabueñes, Gijón, Spain
b Servicio de Anatomía Patológica, Hospital de Cabueñes, Gijón, Spain
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