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This case highlights that sentinel lymph nodes can be located in alternative locations to the common lymphatic basins and, therefore, the importance of preoperative lymphoscintigraphy. We also discuss subclinical breast implant rupture as a causative factor for silicone lymphadenopathy.<\/jats:p>","DOI":"10.1136\/bcr-2020-240793","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T12:11:23Z","timestamp":1625227883000},"page":"e240793","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Intramammary melanoma micrometastasis within a silicone-implanted breast"],"prefix":"10.1136","volume":"14","author":[{"given":"Anna","family":"Payne","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ted","family":"Welman","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Stodell","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,2]]},"reference":[{"key":"2025082804255692000_14.7.e240793.1","unstructured":"Gershenwald JE , Scolyer RA , Hess KR . Melanoma of the skin. In: Amin M , Edge SB , Greene FL , eds. Ajcc cancer staging manual. 8th edn. Switzerland: Springer, 2017: 563\u201385."},{"key":"2025082804255692000_14.7.e240793.2","unstructured":"Melanoma skin cancer incidence statistics [Cancer Research UK website], 2020. 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