Breast implant-associated EBV-positive diffuse large B-cell lymphoma : Two case reports and literature review

Copyright © 2021. Published by Elsevier GmbH..

Lymphomas associated with breast implants are mostly of the T-cell type. They are predominantly anaplastic lymphoma kinase-negative anaplastic large cell lymphoma (ALK-negative ALCL) characterized by CD30 positivity universally. Whilst the majority of primary breast lymphomas occurring in the absence of breast implants are of B-cell origin, there are few cases of implant-associated B-cell lymphomas reported to date in the literature, a subset of which are diffuse large B-cell lymphoma (DLBCL). Given the rarity of this entity, we describe two cases of breast implant-associated DLBCL. Both patients developed Epstein-Barr Virus (EBV)-positive large cell lymphoma of B-cell origin confined to the implant capsule with no evidence of systemic lymphoma. Considering the association with EBV, the activated B-cell phenotype and the presumed chronic inflammatory environment associated with the implant capsule, these might represent forms of DLBCL associated with chronic inflammation (DLBCL-CI) or fibrin-associated DLBCL (FA-DLBCL). Treatment included implant removal with total capsulectomy, and for one of the cases adjuvant systemic chemotherapy. Recognizing this rare type of breast implant-associated B-cell lymphoma could improve our understanding of this entity and hence develop appropriate management strategies.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:226

Enthalten in:

Pathology, research and practice - 226(2021) vom: 05. Okt., Seite 153589

Sprache:

Englisch

Beteiligte Personen:

Morgan, Sarah [VerfasserIn]
Tremblay-LeMay, Rosemarie [VerfasserIn]
Lipa, Joan E [VerfasserIn]
Sur, Monalisa [VerfasserIn]
Delabie, Jan [VerfasserIn]
Imrie, Kevin [VerfasserIn]
Crump, Michael [VerfasserIn]
Snell, Laura J [VerfasserIn]
Ghorab, Zeina [VerfasserIn]

Links:

Volltext

Themen:

Breast implant B-cell lymphoma
Case Reports
DLBCL associated with chronic inflammation
Diffuse large B-cell lymphoma (DLBCL)
EBV-positive breast implant lymphoma
Fibrin-associated DLBCL
Journal Article
Review

Anmerkungen:

Date Completed 28.01.2022

Date Revised 28.01.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.prp.2021.153589

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329981811