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乳房植入物相关间变性大细胞淋巴瘤是否更好地归类为淋巴增生性疾病,以及外科医生如何降低风险?

Is Breast Implant-Associated Anaplastic Large Cell Lymphoma Better Classified as a Lymphoproliferative Disorder and How Surgeons Reduce Risk?

机构信息

Community Health Network, 8040 Clearvista Drive, Indianapolis, IN 46256 USA.

Couto Plastic Surgery, 59 Calle Kings Court, #702, San Juan 00911, Puerto Rico.

出版信息

Clin Plast Surg. 2021 Jan;48(1):71-77. doi: 10.1016/j.cps.2020.08.002. Epub 2020 Oct 9.

DOI:10.1016/j.cps.2020.08.002
PMID:33220906
Abstract

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a complex topic with evolving classification and etiology. Commonalities between BIA-ALCL and lymphoproliferative disorders exist, suggesting that BIA-ALCL may be better represented on a spectrum of disease from benign effusion to malignant metastatic lymphoma. Meticulous sterile surgical technique, involving the use of betadine-containing irrigation, should be used to decrease the biological burden introduced into the surgical field and possibly prevent future incidences of BIA-ALCL.

摘要

乳房植入物相关间变性大细胞淋巴瘤(BIA-ALCL)是一个具有复杂分类和病因的课题。BIA-ALCL 与淋巴增生性疾病之间存在共同特征,这表明 BIA-ALCL 可能更好地代表了从良性渗出液到恶性转移性淋巴瘤的疾病谱。精细的无菌手术技术,包括使用含洗必泰的冲洗液,应被用于减少引入手术区域的生物负担,并可能预防未来 BIA-ALCL 的发生。

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