Department of Radiology, Royal Perth Hospital, GPO Box X2213, Wellington Street Perth, 6000, Western Australia, Australia.
Department of General Surgery, Royal Perth Hospital, Wellington Street Perth, 6000, Western Australia, Australia.
Clin Imaging. 2022 Feb;82:83-87. doi: 10.1016/j.clinimag.2021.11.011. Epub 2021 Nov 14.
Breast implant associated anaplastic large cell lymphoma (BIA-ALCL) is a rare condition related to textured breast implants. Recognition of characteristic imaging and pathological features are important, given the absence of symptoms can delay diagnosis, as illustrated by this case. Late-onset peri-implant effusion is commonly encountered whilst an associated mass or lymphadenopathy are rare. Clinical and radiological suspicion enables dedicated pathology work-up for diagnosis. Ultrasound is vital for initial work-up whilst MRI and PET-CT assist in staging. Surgical explantation is followed by adjuvant chemo-radiotherapy according to disease extent.
乳房植入物相关间变性大细胞淋巴瘤（BIA-ALCL）是一种与纹理乳房植入物相关的罕见疾病。鉴于无明显症状可能导致诊断延迟，因此识别特征性影像学和病理学特征非常重要，本病例即为此种情况。在植入物周围迟发性积液较为常见，而相关肿块或淋巴结病则较为罕见。临床和影像学怀疑有助于进行专门的病理检查以明确诊断。超声检查对于初始检查至关重要，而 MRI 和 PET-CT 有助于分期。根据疾病范围进行手术切除后，再进行辅助化疗和放疗。
