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乳房植入物相关间变性大细胞淋巴瘤当前基因组格局的最新进展

An Update on the Current Genomic Landscape of Breast Implant-Associated Anaplastic Large Cell Lymphoma.

作者信息

Harrop Sean, Mehta-Shah Neha, Dsouza Criselle, Thompson Ella, Deva Anand, Prince Henry Miles

机构信息

Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia.

Division of Oncology, Washington University School of Medicine, St. Louis, MO 63110, USA.

出版信息

Cancers (Basel). 2021 Sep 30;13(19):4921. doi: 10.3390/cancers13194921.

Abstract

Breast implant-associated lymphoma (BIA-ALCL) is a rare subtype of anaplastic large-cell lymphoma associated with breast prostheses. Most patients present with a localised periprosthetic effusion and are managed with removal of the implant and surrounding capsule. Less commonly, the lymphoma can form a mass associated with the capsule and rarely can present with disseminated disease. Recent series characterising the genomic landscape of BIA-ALCL have led to insights into the mechanisms of lymphomagenesis. Constitutive JAK/STAT pathway activation has emerged as a likely key component while, more recently, aberrancies in epigenetic regulators have been reported. This review describes the genomic characterisation reported to date and the insight these findings have provided into this rare entity.

摘要

乳房植入物相关淋巴瘤(BIA-ALCL)是一种与乳房假体相关的间变性大细胞淋巴瘤的罕见亚型。大多数患者表现为假体周围局限性积液,治疗方法是切除植入物和周围包膜。较少见的情况是,淋巴瘤可形成与包膜相关的肿块,极少数情况下可表现为播散性疾病。最近对BIA-ALCL基因组特征的系列研究已深入了解了淋巴瘤发生的机制。组成性JAK/STAT通路激活已成为一个可能的关键因素,而最近,表观遗传调节因子的异常也有报道。本综述描述了迄今为止报道的基因组特征以及这些发现为这个罕见实体提供的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d71/8508182/3dd2f1763f9f/cancers-13-04921-g001.jpg

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