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Jung J, Peters G, Donovan S, Peters G. Tattoo Pigment in an Intramammary Lymph Node Mimicking Breast Malignancy. Cureus 2022; 14:e30336. [PMID: 36407269 PMCID: PMC9663708 DOI: 10.7759/cureus.30336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2022] [Indexed: 11/07/2022] Open
Abstract
There are many patterns of microcalcification in mammography. Distinguishing between these patterns can be challenging. A malignant cause needs to be assessed through further diagnostic workup. We present a case of a 36-year-old BRCA1 mutation carrier, presenting with a small mass containing calcification on her screening mammogram. A vacuum-assisted biopsy under tomosynthesis guidance was performed and demonstrated an intramammary lymph node showing prominent extracellular black pigment. To our knowledge, this is the first case report of tattoo pigment mimicking breast malignancy on mammography.
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Barber-Axthelm IM, Kelly HG, Esterbauer R, Wragg KM, Gibbon AM, Lee WS, Wheatley AK, Kent SJ, Tan HX, Juno JA. Coformulation with Tattoo Ink for Immunological Assessment of Vaccine Immunogenicity in the Draining Lymph Node. THE JOURNAL OF IMMUNOLOGY 2021; 207:735-744. [PMID: 34244296 DOI: 10.4049/jimmunol.2001299] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 05/17/2021] [Indexed: 11/19/2022]
Abstract
Characterization of germinal center B and T cell responses yields critical insights into vaccine immunogenicity. Nonhuman primates are a key preclinical animal model for human vaccine development, allowing both lymph node (LN) and circulating immune responses to be longitudinally sampled for correlates of vaccine efficacy. However, patterns of vaccine Ag drainage via the lymphatics after i.m. immunization can be stochastic, driving uneven deposition between lymphoid sites and between individual LN within larger clusters. To improve the accurate isolation of Ag-exposed LN during biopsies and necropsies, we developed and validated a method for coformulating candidate vaccines with tattoo ink in both mice and pigtail macaques. This method allowed for direct visual identification of vaccine-draining LN and evaluation of relevant Ag-specific B and T cell responses by flow cytometry. This approach is a significant advancement in improving the assessment of vaccine-induced immunity in highly relevant nonhuman primate models.
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Affiliation(s)
- Isaac M Barber-Axthelm
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia
| | - Hannah G Kelly
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia.,Australian Research Council Centre for Excellence in Convergent Bio-Nano Science and Technology, University of Melbourne, Melbourne, Victoria, Australia
| | - Robyn Esterbauer
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia
| | - Kathleen M Wragg
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia
| | - Anne M Gibbon
- Monash Animal Research Platform, Monash University, Clayton, Victoria, Australia; and
| | - Wen Shi Lee
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia
| | - Adam K Wheatley
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia
| | - Stephen J Kent
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia.,Australian Research Council Centre for Excellence in Convergent Bio-Nano Science and Technology, University of Melbourne, Melbourne, Victoria, Australia.,Melbourne Sexual Health Centre and Department of Infectious Diseases, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Victoria, Australia
| | - Hyon-Xhi Tan
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia
| | - Jennifer A Juno
- Department of Microbiology and Immunology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne Victoria, Australia;
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Harada TL, Nakashima K, Uematsu T, Sugino T, Nishimura S, Takahashi K, Tadokoro Y, Hayashi T, Watanabe J, Nakamoto S. Imaging features of breast cancer with marked hemosiderin deposition: A case report. Eur J Radiol Open 2019; 6:302-306. [PMID: 31641684 PMCID: PMC6796500 DOI: 10.1016/j.ejro.2019.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 08/13/2019] [Accepted: 08/13/2019] [Indexed: 11/26/2022] Open
Abstract
A 63-year-old woman was referred to our hospital for breast cancer treatment. She had a large HER2-positive breast tumor on her left breast, and received neoadjuvant chemotherapy. After treatment, a shrunk spiculated mass with calcification-like high density was detected on mammography, and MRI revealed a large strong susceptibility artifact. Surgical specimen analysis attributed these imaging features to a large marked hemosiderin deposition. This case is herein reported due to its rarity and to the importance of acknowledging that this large marked hemosiderin depositions can present as a calcification-like high density on mammography and shows large susceptibility artifact on MRI imaging.
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Affiliation(s)
- Taiyo L Harada
- Division of Breast Imaging and Breast Interventional Radiology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Kazuaki Nakashima
- Division of Breast Imaging and Breast Interventional Radiology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Takayoshi Uematsu
- Division of Breast Imaging and Breast Interventional Radiology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Takashi Sugino
- Division of Pathology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Seiichirou Nishimura
- Division of Breast Surgery, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Kaoru Takahashi
- Division of Breast Surgery, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Yukiko Tadokoro
- Division of Breast Surgery, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Tomomi Hayashi
- Division of Breast Surgery, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Junichiro Watanabe
- Division of Breast Oncology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
| | - Shogo Nakamoto
- Division of Breast Oncology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan
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Arbache S, Mattos EDC, Diniz MF, Paiva PYA, Roth D, Arbache ST, Oliveira ELT, Michalany NS, Hirata SH. How much medication is delivered in a novel drug delivery technique that uses a tattoo machine? Int J Dermatol 2019; 58:750-755. [DOI: 10.1111/ijd.14408] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 11/30/2018] [Accepted: 01/30/2019] [Indexed: 12/20/2022]
Affiliation(s)
- Samir Arbache
- Federal University of São Paulo (Universidade Federal de São Paulo ‐ UNIFESP)/SP Brazil
| | - Elizabeth da Costa Mattos
- Department of Aerospace Science and Technology ‐ DCTA Aeronautics and Space Institute – IAE Department of Chemistry São José dos Campos/SP Brazil
| | - Milton F. Diniz
- Department of Aerospace Science and Technology ‐ DCTA Aeronautics and Space Institute – IAE Department of Chemistry São José dos Campos/SP Brazil
| | - Pedro Y. A. Paiva
- Department of Computer Science Aeronautical Technology Institute São José dos Campos/SP Brazil
| | | | | | - Edna L. T. Oliveira
- Pharmacist of Farmácia de Manipulação Terapêutica São José dos Campos/SP Brazil
| | - Nilceo S. Michalany
- Department of Pathology São Paulo State School of Medicine Federal University of São Paulo (Universidade Federal de São Paulo ‐ UNIFESP)/SP Brazil
| | - Sergio H. Hirata
- Department of Dermatology São Paulo State School of Medicine Federal University of São Paulo (Universidade Federal de São Paulo ‐ UNIFESP)/SP Brazil
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What Is the Color of Your Lymph Node? PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2018; 6:e1990. [PMID: 30656101 PMCID: PMC6326623 DOI: 10.1097/gox.0000000000001990] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Accepted: 09/05/2018] [Indexed: 12/03/2022]
Abstract
We describe a case of tattoo ink in an axillary lymph node, which was observed during an axillary dissection and mastectomy surgery. It is important to be aware of this phenomenon and correctly identify it at the time of surgery, as a misdiagnosis can have serious consequences.
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Borvinskaya E, Gurkov A, Shchapova E, Baduev B, Meglinski I, Timofeyev M. Distribution of PEG-coated hollow polyelectrolyte microcapsules after introduction into the circulatory system and muscles of zebrafish. Biol Open 2018; 7:bio030015. [PMID: 29305467 PMCID: PMC5829502 DOI: 10.1242/bio.030015] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Accepted: 11/24/2017] [Indexed: 12/31/2022] Open
Abstract
The use of polyelectrolyte multilayer microcapsules as carriers for fluorescent molecular probes is a prospective technique for monitoring the physiological characteristics of animal vasculature and interstitial environment in vivo Polyelectrolyte microcapsules have many features that favor their use as implantable carriers of optical sensors, but little information is available on their interactions with complex living tissues, distribution or residence time following different routes of administration in the body of vertebrates. Using the common fish model, the zebrafish Danio rerio, we studied in vivo the distribution of non-biodegradable microcapsules covered with polyethylene glycol (PEG) over time in the adults and evaluated potential side effects of their delivery into the fish bloodstream and muscles. Fluorescent microcapsules administered into the bloodstream and interstitially (in concentrations that were sufficient for visualization and spectral signal recording) both showed negligible acute toxicity to the fishes during three weeks of observation. The distribution pattern of microcapsules delivered into the bloodstream was stable for at least one week, with microcapsules prevalent in capillaries-rich organs. However, after intramuscular injection, the phagocytosis of the microcapsules by immune cells was manifested, indicating considerable immunogenicity of the microcapsules despite PEG coverage. The long-term negative effects of chronic inflammation were also investigated in fish muscles by histological analysis.
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Affiliation(s)
- Ekaterina Borvinskaya
- Institute of Biology at Irkutsk State University, Irkutsk 664003, Russia
- Institute of Biology at Karelian Research Centre of Russian Academy of Sciences, Petrozavodsk 185035, Russia
| | - Anton Gurkov
- Institute of Biology at Irkutsk State University, Irkutsk 664003, Russia
- Baikal Research Centre, Irkutsk 664003, Russia
| | | | - Boris Baduev
- Institute of Biology at Irkutsk State University, Irkutsk 664003, Russia
- Baikal Research Centre, Irkutsk 664003, Russia
| | - Igor Meglinski
- Institute of Biology at Irkutsk State University, Irkutsk 664003, Russia
- University of Oulu, Optoelectronics and Measurement Techniques Laboratory, Oulu 90570, Finland
| | - Maxim Timofeyev
- Institute of Biology at Irkutsk State University, Irkutsk 664003, Russia
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Gowharji L, Smetherman D, Roberts B. Body Art Confounding a Case of Breast Cancer. Ochsner J 2017; 17:430-433. [PMID: 29230131 PMCID: PMC5718459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023] Open
Abstract
BACKGROUND Heavy metals in tattoo ink can be deposited in axillary lymph nodes, mimicking malignant calcifications. High-density foci in axillary lymph nodes can be the sequelae of a benign or malignant process. CASE REPORT A 34-year-old female presented with left breast discomfort. Mammography showed suspicious left breast calcifications for which biopsy revealed multicentric ductal carcinoma in situ. Imaging also showed high-density foci in her left axillary lymph nodes suspicious for nodal metastases; however, biopsy of the lymph nodes found the high-density foci to be pigment-laden histiocytes from tattoo ink metallic deposits. CONCLUSION High-density foci in axillary lymph nodes on mammography can be evidence of calcifications or metal deposits and can be the manifestation of a benign or malignant process. Thus, this finding may warrant additional diagnostic workup (including mammography, ultrasound, and possibly biopsy) and correlation with clinical history.
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Affiliation(s)
- Lena Gowharji
- Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
| | - Dana Smetherman
- Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
| | - Brett Roberts
- Department of Radiology, Ochsner Clinic Foundation, New Orleans, LA
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