一例高度怀疑术后胸壁复发的 BIA-ALCL 病例:日本报告的第三例 BIA-ALCL 病例。

IF 0.7 Q4 SURGERY
Wakako Tajiri, Ryo Shimamoto, Yutaka Koga, Junji Kawasaki, Makiko Higuchi, Yoshiaki Nakamura, Yumiko Koi, Chinami Koga, Hideki Ijichi, Ilseung Choi, Youko Suehiro, Kenichi Taguchi, Eriko Tokunaga
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引用次数: 0

摘要

背景:乳房植入物相关性无细胞大细胞淋巴瘤(BIA-ALCL)是一种罕见的恶性肿瘤。许多 BIA-ALCL 病例是根据晚期出现的渗出物和/或肿块而确定的。重要的是,美国食品和药物管理局注意到,在所有诊断为纹理植入物患者的病例中,患者要么有混合植入光滑和纹理植入物的病史,要么没有提供临床病史以供审查。日本于 2019 年报告了首例 BIA-ALCL 病例,我们于 2021 年 12 月在日本发现了第三例 BIA-ALCL 病例。此前在日本学术会议上(日本肿瘤乳房整形外科学会。http://jopbs.umin.jp/medical/index.html )共报道了五例 BIA-ALCL 病例,其中只有第一例已经发表。与第一例不同的是,该患者的临床特征高度提示为乳腺癌术后胸壁复发,皮肤上有肿块和皮疹:患者是一名 45 岁的女性,8 年前接受了右乳乳腺癌手术后的乳房重建。患者出现乳房下区肿块和皮疹,我们怀疑是硅胶乳房假体(SBI)受损或胸壁复发。我们对肿块进行了穿刺活检,病理诊断为 BIA-ALC。影像学检查结果显示胸腔内淋巴结肿大,淋巴瘤浸润超出囊膜,但无转移病灶(cStage III)。在对 SBI 和淋巴瘤进行全切后,进行了全身辅助治疗:结论:我们在日本发现了第三例BIA-ALCL。结论:我们在日本发现了第三例 BIA-ALCL 病例,这是一例临床晚期病例,但 BIA-ALCL 病例的病情得到了缓解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of BIA-ALCL in which postoperative chest wall recurrence was highly suspected: the third reported case of BIA-ALCL in Japan.

Background: Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare malignancy. Many cases of BIA-ALCL are identified based on the presence of late-onset effusion and/or masses. Importantly, the United States Food and Drug Administration noted that in all cases diagnosed in patients with textured implants, the patients either had a history of mixed implantation of smooth and textured devices or no clinical history was supplied for review. In Japan, the first case of BIA-ALCL was reported in 2019, and we encountered the third case in Japan in December 2021. There have been a total of five cases of BIA-ALCL previously reported at Japanese academic conferences (Japan Oncoplastic Breast Surgery Society. http://jopbs.umin.jp/medical/index.html ), of which only the first case has been published. Unlike the first case, this patient had clinical features that were highly suggestive of the postoperative chest wall recurrence of breast cancer, with a mass and rash on the skin.

Case presentation: The patient was a 45-year-old woman who had undergone breast reconstruction after breast cancer surgery of the right breast 8 years previously. The patient presented with a mass and skin rash inside the inframammary area, and we suspected a damaged silicone breast implant (SBI) or chest wall recurrence. We examined the mass by a core needle biopsy and made a pathological diagnosis of BIA-ALCL. Imaging findings suggested internal thoracic lymph node swelling and lymphoma infiltration beyond the capsule but no metastatic lesions (cStage III). After en bloc resection of the SBI and lymphoma, adjuvant systemic therapy was performed.

Conclusion: We encountered the third case of BIA-ALCL in Japan. This was a case with clinically advanced stage of disease; however, the BIA-ALCL was found to be in remission.

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