Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma

We report a case of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which had a history of spontaneous resorption of late seroma before diagnosis. A 47-year-old woman with a history of augmentation mammoplasty with round textured implants in January 2013 presented with a swellin...

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Autores principales: Do Yeon Kim, Joon Hur, Woo Yeon Han, Kyunghyun Min, Jong Won Lee, Jin Sup Eom, Hyun Ho Han, Eun Key Kim
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Publicado: Korean Society for Aesthetic Plastic Surgery 2021
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spelling oai:doaj.org-article:54e519a2dade47ea86250db40c30f3072021-11-09T06:59:08ZBreast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma2234-08312288-933710.14730/aaps.2021.00136https://doaj.org/article/54e519a2dade47ea86250db40c30f3072021-10-01T00:00:00Zhttp://e-aaps.org/upload/pdf/aaps-2021-00136.pdfhttps://doaj.org/toc/2234-0831https://doaj.org/toc/2288-9337We report a case of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which had a history of spontaneous resorption of late seroma before diagnosis. A 47-year-old woman with a history of augmentation mammoplasty with round textured implants in January 2013 presented with a swelling on her right breast 6 years later, which was diagnosed as late seroma with suspected intracapsular rupture using ultrasonography (USG). Although aspiration was not done at the time of the initial USG, the seroma resolved spontaneously within weeks. A further workup proceeded with USG-guided aspiration followed by magnetic resonance imaging. Cytology of the aspirated fluid showed atypical cells. Cell block cytology and immunohistochemical staining confirmed the diagnosis of BIA-ALCL. En bloc resection with total capsulectomy and explantation was performed as curative surgery. Pathologic stage pT2N0M0 was confirmed and the patient was followed up without further treatment. Although the classic presentation of BIA-ALCL is known as late persistent seroma, an atypical manifestation such as spontaneous resorption may occur, as in the current case. A high level of suspicion and a thorough investigation with appropriate modalities will make it possible to detect this rare and potentially devastating disease.Do Yeon KimJoon HurWoo Yeon HanKyunghyun MinJong Won LeeJin Sup EomHyun Ho HanEun Key KimKorean Society for Aesthetic Plastic Surgeryarticlebreast implantslymphomaseromaSurgeryRD1-811ENArchives of Aesthetic Plastic Surgery, Vol 27, Iss 4, Pp 143-148 (2021)
institution DOAJ
collection DOAJ
language EN
topic breast implants
lymphoma
seroma
Surgery
RD1-811
spellingShingle breast implants
lymphoma
seroma
Surgery
RD1-811
Do Yeon Kim
Joon Hur
Woo Yeon Han
Kyunghyun Min
Jong Won Lee
Jin Sup Eom
Hyun Ho Han
Eun Key Kim
Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
description We report a case of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which had a history of spontaneous resorption of late seroma before diagnosis. A 47-year-old woman with a history of augmentation mammoplasty with round textured implants in January 2013 presented with a swelling on her right breast 6 years later, which was diagnosed as late seroma with suspected intracapsular rupture using ultrasonography (USG). Although aspiration was not done at the time of the initial USG, the seroma resolved spontaneously within weeks. A further workup proceeded with USG-guided aspiration followed by magnetic resonance imaging. Cytology of the aspirated fluid showed atypical cells. Cell block cytology and immunohistochemical staining confirmed the diagnosis of BIA-ALCL. En bloc resection with total capsulectomy and explantation was performed as curative surgery. Pathologic stage pT2N0M0 was confirmed and the patient was followed up without further treatment. Although the classic presentation of BIA-ALCL is known as late persistent seroma, an atypical manifestation such as spontaneous resorption may occur, as in the current case. A high level of suspicion and a thorough investigation with appropriate modalities will make it possible to detect this rare and potentially devastating disease.
format article
author Do Yeon Kim
Joon Hur
Woo Yeon Han
Kyunghyun Min
Jong Won Lee
Jin Sup Eom
Hyun Ho Han
Eun Key Kim
author_facet Do Yeon Kim
Joon Hur
Woo Yeon Han
Kyunghyun Min
Jong Won Lee
Jin Sup Eom
Hyun Ho Han
Eun Key Kim
author_sort Do Yeon Kim
title Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
title_short Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
title_full Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
title_fullStr Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
title_full_unstemmed Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
title_sort breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma
publisher Korean Society for Aesthetic Plastic Surgery
publishDate 2021
url https://doaj.org/article/54e519a2dade47ea86250db40c30f307
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