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疾病谱:乳房假体相关性间变大细胞淋巴瘤、不典型病变和其他假体相关性疾病。

A Spectrum of Disease: Breast Implant-Associated Anaplastic Large Cell Lymphoma, Atypicals, and Other Implant Associations.

机构信息

Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, 1400 Pressler Street, Houston, TX 77030, USA.

Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, 1400 Pressler Street, Houston, TX 77030, USA; University of Texas, Houston School of Medicine, Houston, TX, USA.

出版信息

Clin Plast Surg. 2023 Apr;50(2):249-257. doi: 10.1016/j.cps.2022.12.001.

DOI:10.1016/j.cps.2022.12.001
PMID:36813403
Abstract

Breast implant associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon and emerging malignancy caused by textured breast implants. The most common patient presentation is delayed seromas, other presentations include breast asymmetry, overlying skin rashes, palpable masses, lymphadenopathy, and capsular contracture. Confirmed diagnoses should receive lymphoma oncology consultation, multidisciplinary evaluation, and PET-CT or CT scan evaluation prior to surgical treatment. Disease confined to the capsule is curable in the majority of patients with complete surgical resection. BIA-ALCL is now recognized as one disease among a spectrum of inflammatory mediated malignancies which include implant-associated squamous cell carcinoma and B cell lymphoma.

摘要

乳房植入物相关间变性大细胞淋巴瘤(BIA-ALCL)是一种由纹理乳房植入物引起的罕见且新兴的恶性肿瘤。最常见的患者表现为延迟性血清肿,其他表现包括乳房不对称、覆盖皮肤皮疹、可触及的肿块、淋巴结病和包膜挛缩。确诊的患者应在接受手术治疗前接受淋巴瘤肿瘤学咨询、多学科评估以及 PET-CT 或 CT 扫描评估。大多数患者通过完全手术切除可治愈局限于包膜的疾病。BIA-ALCL 现在被认为是一种炎症介导的恶性肿瘤谱中的一种疾病,包括与植入物相关的鳞状细胞癌和 B 细胞淋巴瘤。

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引用本文的文献

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Primary Breast Implant-Associated Squamous Cell Carcinoma: A Proposal for a Better Surgical Approach and Clinical Staging System Based on Tumour Characteristics.原发性乳房植入物相关鳞状细胞癌:基于肿瘤特征的更好手术方法和临床分期系统的建议
Ann Surg Oncol. 2025 Jul 23. doi: 10.1245/s10434-025-17873-x.
2
Abdominal-Based Microsurgical Breast Reconstruction: How to Inset the Flap to Maximize the Aesthetic Result-A Systematic Review.基于腹部的显微外科乳房重建:如何植入皮瓣以最大化美学效果——一项系统评价
J Clin Med. 2023 Sep 22;12(19):6135. doi: 10.3390/jcm12196135.
3
Reply: Comment on BIA-ALCL: Comparing the Risk Profiles of Smooth and Textured Breast Implants.
回复:评论 BIA-ALCL:比较光滑和纹理乳房植入物的风险特征。
Aesthetic Plast Surg. 2024 Jan;48(1):19-22. doi: 10.1007/s00266-023-03426-8. Epub 2023 Jun 12.