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乳房植入物相关间变性大细胞淋巴瘤:一例报告及文献综述

Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report and Literature Review.

作者信息

Letter Haley, Rop Baiywo, Edison Michele N, Turner Patricia

机构信息

Diagnostic Radiology, Florida Hospital-Orlando.

Radiology, Florida Hospital-Orlando.

出版信息

Cureus. 2016 Mar 26;8(3):e546. doi: 10.7759/cureus.546.

Abstract

Introduction Anaplastic large cell lymphoma is a very rare T-cell lymphoma that has only recently been found to be associated with breast implants. It has been described in the literature mainly in the form of case reports. This article focuses on the imaging characteristics of this rare disease. We hope to increase awareness of breast imagers and referring physicians to improve early detection rates. Case Report We present the case of a 32-year-old female who presented with several weeks of pain and firmness in her right breast. MRI and ultrasound demonstrated a peri-implant fluid collection. Ultrasound-guided aspiration revealed anaplastic large cell lymphoma. The patient was treated with implant removal alone and has now been in remission for 3 years.  Conclusion Anaplastic large cell lymphoma of the breast is a very rare entity that has mainly been described in the literature as case reports. As in the case of our patient, imaging findings can be very non-specific, and it is important for surgeons, breast imagers, and oncologists to be aware of this rare disease to ensure prompt diagnosis.

摘要

引言

间变性大细胞淋巴瘤是一种非常罕见的T细胞淋巴瘤,直到最近才发现它与乳房植入物有关。文献中主要以病例报告的形式对其进行了描述。本文重点关注这种罕见疾病的影像学特征。我们希望提高乳腺影像科医生和转诊医生的认识,以提高早期检出率。

病例报告

我们报告一例32岁女性病例,该患者右乳出现数周的疼痛和硬结。MRI和超声显示植入物周围有液体积聚。超声引导下穿刺抽吸显示为间变性大细胞淋巴瘤。该患者仅接受了植入物取出治疗,目前已缓解3年。

结论

乳腺间变性大细胞淋巴瘤是一种非常罕见的疾病,文献中主要以病例报告的形式进行描述。正如我们患者的情况一样,影像学表现可能非常不具有特异性,外科医生、乳腺影像科医生和肿瘤学家了解这种罕见疾病以确保及时诊断非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7142/4846395/ca1cc3dac055/cureus-0008-000000000546-i01.jpg

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