Case Report
 
A case report of breast implant-associated anaplastic large cell lymphoma: The good, the bad, and the ugly
Alya Binmahfouz1,2, Karin Steinke3
1MD, Radiology Fellow in Women's Imaging, Department of Medical Imaging, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
2Department of Medical Imaging, King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia.
3MD. PhD, Associate Professor, Department of Medical Imaging, Royal Brisbane and Women's Hospital, University of Queensland, School of Medicine, Brisbane, QLD, Australia.

Article ID: Z01201608CR10683AB
doi:10.5348/ijcri-201695-CR-10683

Address correspondence to:
Karin Steinke
Department of Medical Imaging, Royal Brisbane and Women's Hospital
University of Queensland, School of Medicine
Brisbane, QLD
Australia

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How to cite this article
Binmahfouz A, Steinke K. A case report of breast implant-associated anaplastic large cell lymphoma: The good, the bad, and the ugly. Int J Case Rep Images 2016;7(8):537–541.


Abstract
Introduction: Primary lymphoma of the breast is very rare, comprising 0.5% breast neoplasms. The majority of breast lymphomas are of B cell type, postulated to originate from intramammary lymph nodes or breast lymphatics. Moreover, a still unresolved entity known as breast implant-associated anaplastic large T cell lymphoma (BIA-ALCL) has emerged over the last 20 years, its incidence believed to be on the rise, as the prevalence of women with breast implants is increasing.
Case Report: We report an extremely uncommon presentation of BIA-ALCL in a 55-year-old lady who presented 23 years post-bilateral cosmetic breast implants with a locally aggressive mass in the left breast. The mass invaded the chest wall and was associated with left axillary and internal mammary lymph nodes. We review the medical imaging and histopathologic findings of this mass and briefly discuss the different presentations and recommended treatment options.
Conclusion: This report reinforces the importance of understanding the possible inherent complications and variable clinical presentations associated with breast implants, in order to assist with early recognition and prompt management of this recently emerging, potentially fatal disease.

Keywords: Anaplastic T cell breast lymphoma, Breast implant, Implant associated breast lymphoma, Implant complication


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Author Contributions
Alya Binmahfouz – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Karin Steinke – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Alya Binmahfouz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Alya Binmahfouz is Radiology Fellow in women's imaging at the Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. She earned MBBS degree from King Abdulaziz University, Jeddah, Saudi Arabia and The Saudi Board In Radiology from The Saudi Commission For Health Specialties. She has published a few research papers in National and International academic journals. Her research interests include Women's Imaging and Intervention.



Karin Steinke is Senior Staff Specialist at The Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. She has published over 60 research papers in national and international academic journals and authored two book chapters. Her research interests include lung and breast imaging and intervention