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

Lymphoma
02/11/2020

Plast Reconstr Surg Glob Open. 2020 Sep 28;8(9):e3153. doi: 10.1097/GOX.0000000000003153. eCollection 2020 Sep.

ABSTRACT

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.