Case Report: Early Breast Cancer Recurrence Mimicking BIA-ALCL in a Patient With Multiple Breast Procedures

Breast reconstruction plays a fundamental role in the therapeutic process of breast cancer treatment and breast implants represents the leading breast reconstruction strategy. Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL), locoregional recurrence in the skin flap, and skin flap...

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Published inFrontiers in surgery Vol. 8; p. 606864
Main Authors Materazzo, Marco, Vanni, Gianluca, Pellicciaro, Marco, Anemona, Lucia, Servadei, Francesca, Giacobbi, Erika, Farinaccio, Andrea, Pistolese, Chiara Adriana, Perretta, Tommaso, Chiocchi, Marcello, Bruno, Valentina, Tacconi, Federico, Sadri, Amir, De Majo, Adriano, Di Pasquali, Camilla, Meucci, Rosaria, Santori, Francesca, Cotesta, Maria, Buonomo, Oreste Claudio
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 09.03.2021
Subjects
breast cancer
breast implant associated-anaplastic large cell lymphoma
case report
locoregional recurrence
macro textured breast implants
residual breast tissue
Surgery
locoregional recurrence
breast implant associated-anaplastic large cell lymphoma
breast seroma
residual breast tissue
macro textured breast implants
breast cancer
case report
immediate breast reconstruction
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Summary:Breast reconstruction plays a fundamental role in the therapeutic process of breast cancer treatment and breast implants represents the leading breast reconstruction strategy. Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL), locoregional recurrence in the skin flap, and skin flap necrosis are well-known complications following mastectomy and immediate breast reconstruction (IBR). We report a case of locoregional cancer recurrence in the mastectomy flap mimicking BIA-ALCL, in a patient who underwent 6 breast procedures in four facilities across 15 years including immediate breast reconstruction with macrotextured breast implants. Despite the rate and onset of the disease, clinicians should be aware of BIA-ALCL. Due to the risk of false negative results of fine needle aspiration, clinical suspicion of BIA-ALCL should drive clinicians' choices, aside from cytological results. In the present case, surgical capsulectomy of the abnormal periprosthesic tissue revealed locoregional recurrence.
Bibliography:Reviewed by: Marzia Salgarello, Catholic University of the Sacred Heart, Italy; Benedetto Ielpo, Hospital del Mar, Spain
This article was submitted to Reconstructive and Plastic Surgery, a section of the journal Frontiers in Surgery
Edited by: Charles Malata, Anglia Ruskin University, United Kingdom
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2021.606864