How I treat breast implant-associated anaplastic large cell lymphoma

被引:51
作者
Mehta-Shah, Neha [1 ]
Clemens, Mark W. [2 ]
Horwitz, Steven M. [3 ]
机构
[1] Washington Univ, Dept Med, Div Oncol, St Louis, MO USA
[2] MD Anderson Canc Ctr, Dept Plast Surg, Houston, TX USA
[3] Mem Sloan Kettering Canc Ctr, Dept Med, Lymphoma Serv, 1275 York Ave, New York, NY 10065 USA
基金
美国国家卫生研究院;
关键词
BRENTUXIMAB VEDOTIN SGN-35; MANAGEMENT; RECOMMENDATIONS; INVOLVEMENT; FEATURES; THERAPY; SEROMA; WOMEN; ALCL;
D O I
10.1182/blood-2018-03-785972
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently described form of T-cell non-Hodgkin lymphoma now formally recognized by the World Health Organization classification of lymphoid neoplasms. The disease most often presents with a delayed seroma around the breast implant, almost exclusively with a textured surface, and manifests with breast pain, swelling or asymmetry, capsular contracture, but can also present with a breast mass, and lymph node involvement. The prognosis of BIA-ALCL is favorable compared with many other subtypes of systemic T-cell lymphoma; however, unlike other non-Hodgkin lymphomas, complete surgical excision for localized disease is an important part of the management of these patients. In this paper, we share our recommendations for a multidisciplinary team approach to the diagnosis, workup, and treatment of BIA-ALCL in line with consensus guidelines by the National Comprehensive Cancer Network.
引用
收藏
页码:1889 / 1898
页数:10
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