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产后患者出现的乳房植入物相关间变性大细胞淋巴瘤:一例报告

Breast Implant-Associated Anaplastic Large Cell Lymphoma Presenting in a Postpartum Patient: A Case Report.

作者信息

Al-Shaikhli Seema A, Mautner Starr, Nasseri-Nik Niloofar, Lampen-Sachar Katharine

机构信息

Radiology, Herbert Wertheim College of Medicine at Florida International University, Miami, USA.

Surgery, Baptist Health South Florida, Miami, USA.

出版信息

Cureus. 2023 Aug 11;15(8):e43334. doi: 10.7759/cureus.43334. eCollection 2023 Aug.

Abstract

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare cancer found in women with breast implants, occurring approximately eight years after their placement. Since the initial case report of BIA-ALCL in 1997, over 700 cases have been described worldwide and there is now a registry of cases diagnosed in the United States to help learn more about this disease process and prognosis. The majority of cases have been associated with Allergan's textured implants which have been recalled. As this disease is relatively rare with only 1,130 cases described worldwide, it is important to keep BIA-ALCL in mind in the differential diagnosis of a woman presenting with breast swelling and peri-implant fluid collection in the setting of having a textured implant. Outcomes for women with BIA-ALCL are favorable, as most disease is contained within the peri-implant capsule. Thus, complete surgical resection is often curative. Here, we report the case of a 40-year-old woman with BIA-ALCL who presented with unilateral breast swelling in the peripartum period.

摘要

乳房植入物相关间变性大细胞淋巴瘤(BIA-ALCL)是一种在接受乳房植入物的女性中发现的罕见癌症,大约在植入后八年发生。自1997年首次报告BIA-ALCL病例以来,全球已描述了700多例病例,现在美国有一个已诊断病例的登记处,以帮助更多地了解这种疾病过程和预后。大多数病例与已被召回的艾尔建公司的毛面植入物有关。由于这种疾病相对罕见,全球仅描述了1130例病例,因此在对有毛面植入物且出现乳房肿胀和植入物周围积液的女性进行鉴别诊断时,牢记BIA-ALCL很重要。患有BIA-ALCL的女性预后良好,因为大多数疾病局限于植入物周围的包膜内。因此,完整的手术切除通常可治愈。在此,我们报告一例40岁患有BIA-ALCL的女性病例,她在围产期出现单侧乳房肿胀。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25a/10493074/40b38434d942/cureus-0015-00000043334-i01.jpg

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