Late onset of fluid collection surrounding breast implants may represent a serious issue when considering the possibility of breast implant-associated anaplastic large cell lymphoma, a newly recognized type of T-cell malignancy. However, many other factors, including trauma and infections, may be implicated in the formation of non-neoplastic periprosthetic delayed effusions. An appropriate management of late seromas, consisting of ultrasound-guided fluid drainage, cultures, cytology, and immunocytochemical and T-cell clonality studies, should be performed to achieve a correct and prompt diagnosis of breast implant-associated anaplastic large cell lymphoma. Criticisms in the diagnosis of late peri-implant effusions are here discussed in detail.

Achieving Reliable Diagnosis in Late Breast Implant Seromas. From Reactive to Anaplastic Large Cell Lymphoma / Di Napoli, Arianna. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - 143:3S A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma(2019), pp. 15S-22S. [10.1097/PRS.0000000000005565]

Achieving Reliable Diagnosis in Late Breast Implant Seromas. From Reactive to Anaplastic Large Cell Lymphoma

Di Napoli, Arianna
2019

Abstract

Late onset of fluid collection surrounding breast implants may represent a serious issue when considering the possibility of breast implant-associated anaplastic large cell lymphoma, a newly recognized type of T-cell malignancy. However, many other factors, including trauma and infections, may be implicated in the formation of non-neoplastic periprosthetic delayed effusions. An appropriate management of late seromas, consisting of ultrasound-guided fluid drainage, cultures, cytology, and immunocytochemical and T-cell clonality studies, should be performed to achieve a correct and prompt diagnosis of breast implant-associated anaplastic large cell lymphoma. Criticisms in the diagnosis of late peri-implant effusions are here discussed in detail.
2019
adult; biopsy, needle; breast implantation; breast implants; breast neoplasms; diagnosis, differential; drainage; female; humans; immunohistochemistry; ki-1 antigen; lymphoma, large-cell, anaplastic; middle aged; postoperative complications; risk assessment; seroma; ultrasonography, doppler
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Achieving Reliable Diagnosis in Late Breast Implant Seromas. From Reactive to Anaplastic Large Cell Lymphoma / Di Napoli, Arianna. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - 143:3S A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma(2019), pp. 15S-22S. [10.1097/PRS.0000000000005565]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1280929
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