A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension

Summary:. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare peripheral T-cell lymphoma associated with textured implants and usually presents as a late-onset periprosthetic seroma. We present a 70-year-old woman with a history of left breast invasive ductal carcinoma trea...

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Autores principales:	Dino Maglic, MD, Whitney Moss, MD, Giovanna Pires, BA, Archana Agarwal, MD, Cindy Matsen, MD, Alvin Kwok, MD, MPH
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/ab6e7aa467844ba39f4135b8c5308a95
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spelling	oai:doaj.org-article:ab6e7aa467844ba39f4135b8c5308a952021-11-25T07:58:04ZA Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension2169-757410.1097/GOX.0000000000003916https://doaj.org/article/ab6e7aa467844ba39f4135b8c5308a952021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003916https://doaj.org/toc/2169-7574Summary:. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare peripheral T-cell lymphoma associated with textured implants and usually presents as a late-onset periprosthetic seroma. We present a 70-year-old woman with a history of left breast invasive ductal carcinoma treated with mastectomy and textured implant-based reconstruction, and subsequent adjuvant chemotherapy due to lymphovascular extension. Eleven years following her reconstruction, the patient developed a periprosthetic seroma. Fine needle aspiration and partial capsulectomy were performed, but appropriate pathologic evaluation was not initially submitted. She then presented with lymphadenopathy, which was biopsied and revealed BIA-ALCL within an axillary lymph node. Despite implant explantation, complete capsulectomy, axillary lymph node dissection, and excision of groin lymphadenopathy, no evidence of primary ALCL was appreciated. This initially misdiagnosed case demonstrates the importance of following the National Comprehensive Cancer Network guidelines when a patient presents with late onset breast periprosthetic effusions.Dino Maglic, MDWhitney Moss, MDGiovanna Pires, BAArchana Agarwal, MDCindy Matsen, MDAlvin Kwok, MD, MPHWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3916 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Dino Maglic, MD Whitney Moss, MD Giovanna Pires, BA Archana Agarwal, MD Cindy Matsen, MD Alvin Kwok, MD, MPH A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension
description	Summary:. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare peripheral T-cell lymphoma associated with textured implants and usually presents as a late-onset periprosthetic seroma. We present a 70-year-old woman with a history of left breast invasive ductal carcinoma treated with mastectomy and textured implant-based reconstruction, and subsequent adjuvant chemotherapy due to lymphovascular extension. Eleven years following her reconstruction, the patient developed a periprosthetic seroma. Fine needle aspiration and partial capsulectomy were performed, but appropriate pathologic evaluation was not initially submitted. She then presented with lymphadenopathy, which was biopsied and revealed BIA-ALCL within an axillary lymph node. Despite implant explantation, complete capsulectomy, axillary lymph node dissection, and excision of groin lymphadenopathy, no evidence of primary ALCL was appreciated. This initially misdiagnosed case demonstrates the importance of following the National Comprehensive Cancer Network guidelines when a patient presents with late onset breast periprosthetic effusions.
format	article
author	Dino Maglic, MD Whitney Moss, MD Giovanna Pires, BA Archana Agarwal, MD Cindy Matsen, MD Alvin Kwok, MD, MPH
author_facet	Dino Maglic, MD Whitney Moss, MD Giovanna Pires, BA Archana Agarwal, MD Cindy Matsen, MD Alvin Kwok, MD, MPH
author_sort	Dino Maglic, MD
title	A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension
title_short	A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension
title_full	A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension
title_fullStr	A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension
title_full_unstemmed	A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension
title_sort	case report of misdiagnosed breast implant-associated anaplastic large cell lymphoma with lymphatic extension
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/ab6e7aa467844ba39f4135b8c5308a95
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A Case Report of Misdiagnosed Breast Implant-associated Anaplastic Large Cell Lymphoma with Lymphatic Extension

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