Kim David H, Webster Theresa K, Bartolacci Joseph G, Araya Sthefano, Panichella Juliet, Patel Sameer A
Division of Plastic and Reconstructive Surgery, Fox Chase Cancer Center, Philadelphia, Pa.
Lewis Katz School of Medicine, Temple University, Philadelphia, Pa.
Plast Reconstr Surg Glob Open. 2022 Apr 25;10(4):e4286. doi: 10.1097/GOX.0000000000004286. eCollection 2022 Apr.
Outcomes related to the treatment of breast implant-associated anaplastic large cell lymphoma, a rare extranodal T-cell lymphoma associated with textured breast implants, are largely dependent on the successful resection to negative margins via en bloc capsulectomy and resection of any associated masses. To date, the use of needle localization, a common technique used in breast surgery, to assist in the complete removal of breast implant-associated anaplastic large cell lymphoma has not been described. We present the case report of a 66-year-old woman, with a previous medical history of left-sided invasive ductal carcinoma, who presented 7 years after textured breast implant placement with a left-sided mass without peri-implant seroma. Biopsy demonstrated breast implant-associated anaplastic large cell lymphoma and the associated breast mass extended beyond the capsule borders. The present report describes the novel use of needle localization in this patient to facilitate the complete removal of the malignancy-associated mass with maximal preservation of the overlying soft tissue envelope.
与乳房植入物相关的间变性大细胞淋巴瘤（一种与毛面乳房植入物相关的罕见结外T细胞淋巴瘤）的治疗结果，在很大程度上取决于能否通过整块包膜切除术和切除任何相关肿块成功切除至切缘阴性。迄今为止，尚未有关于使用乳房手术中常用的针定位技术来辅助完全切除乳房植入物相关的间变性大细胞淋巴瘤的描述。我们报告一例66岁女性病例，该患者既往有左侧浸润性导管癌病史，在植入毛面乳房植入物7年后出现左侧肿块，无植入物周围血清肿。活检显示为乳房植入物相关的间变性大细胞淋巴瘤，且相关乳房肿块超出包膜边界。本报告描述了在该患者中使用针定位的新方法，以促进最大程度保留覆盖的软组织包膜的同时完全切除恶性相关肿块。
