Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis

Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis

Summary. We present a case report of breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) that was mistaken as disseminated silicosis after multiple percutaneous biopsies. The correct diagnosis of BIA-ALCL was confirmed only after a pathologic examination of the capsulectomy specimens...

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Main Authors: Jonathan Freedman, MD, PhD, Andrew Peredo, MD, Julie Rosser, DO, Nicole Christian, MD, Christodoulos Kaoutzanis, MD
Format: Article
Language:English
Published: Wolters Kluwer 2020-09-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003153
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spelling doaj-0de4ddfd1b944cde912fa14905ec8f4b2020-11-25T03:45:07ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-09-0189e315310.1097/GOX.0000000000003153202009000-00011Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated SilicosisJonathan Freedman, MD, PhD0Andrew Peredo, MD1Julie Rosser, DO2Nicole Christian, MD3Christodoulos Kaoutzanis, MD4From the Divisions of Plastic Surgery and Breast Surgery, Department of Surgery and Department of Pathology, Anschutz Medical Center, University of Colorado, Denver, Colo.From the Divisions of Plastic Surgery and Breast Surgery, Department of Surgery and Department of Pathology, Anschutz Medical Center, University of Colorado, Denver, Colo.From the Divisions of Plastic Surgery and Breast Surgery, Department of Surgery and Department of Pathology, Anschutz Medical Center, University of Colorado, Denver, Colo.From the Divisions of Plastic Surgery and Breast Surgery, Department of Surgery and Department of Pathology, Anschutz Medical Center, University of Colorado, Denver, Colo.From the Divisions of Plastic Surgery and Breast Surgery, Department of Surgery and Department of Pathology, Anschutz Medical Center, University of Colorado, Denver, Colo.Summary. We present a case report of breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) that was mistaken as disseminated silicosis after multiple percutaneous biopsies. The correct diagnosis of BIA-ALCL was confirmed only after a pathologic examination of the capsulectomy specimens. A review of the literature of percutaneous biopsies of ALCL showed a diagnostic yield of only 63%. Although percutaneous biopsies may be facile to obtain and may be diagnostic, in our case, biopsies were not sufficient to exclude the diagnosis of BIA-ALCL.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003153
collection DOAJ
language English
format Article
sources DOAJ
author Jonathan Freedman, MD, PhD
Andrew Peredo, MD
Julie Rosser, DO
Nicole Christian, MD
Christodoulos Kaoutzanis, MD
spellingShingle Jonathan Freedman, MD, PhD
Andrew Peredo, MD
Julie Rosser, DO
Nicole Christian, MD
Christodoulos Kaoutzanis, MD
Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis
Plastic and Reconstructive Surgery, Global Open
author_facet Jonathan Freedman, MD, PhD
Andrew Peredo, MD
Julie Rosser, DO
Nicole Christian, MD
Christodoulos Kaoutzanis, MD
author_sort Jonathan Freedman, MD, PhD
title Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis
title_short Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis
title_full Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis
title_fullStr Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis
title_full_unstemmed Biopsy Results Are Not Sufficient to Exclude Breast Implant–associated Anaplastic Large Cell Lymphoma: A Case Mistaken for Disseminated Silicosis
title_sort biopsy results are not sufficient to exclude breast implant–associated anaplastic large cell lymphoma: a case mistaken for disseminated silicosis
publisher Wolters Kluwer
series Plastic and Reconstructive Surgery, Global Open
issn 2169-7574
publishDate 2020-09-01
description Summary. We present a case report of breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) that was mistaken as disseminated silicosis after multiple percutaneous biopsies. The correct diagnosis of BIA-ALCL was confirmed only after a pathologic examination of the capsulectomy specimens. A review of the literature of percutaneous biopsies of ALCL showed a diagnostic yield of only 63%. Although percutaneous biopsies may be facile to obtain and may be diagnostic, in our case, biopsies were not sufficient to exclude the diagnosis of BIA-ALCL.
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003153
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