Abstract

PICARD-AMI JR, Luis A. First case in Panama of breast implant associated anaplastic large cell lymphoma (BIA-ALCL). Cir. plást. iberolatinoam. [online]. 2020, vol.46, n.3, pp.273-282.  Epub Dec 07, 2020. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-789220200004000004.

Breast implant associated anaplastic large cell lymphoma (BIA.ALCL) is an extremely rare disease with only 573 cases reported worldwide up to November 2019. However, in Panama a small country with a population of 4.2 million, the first case already showed up.

The patient is a 65-year-old female who presents with a one-week history of a delayed seroma on the right breast and a history of having macrotexture breast implants for the past 5 years. The diagnosis was confirmed with histopathological analysis of the complete capsule and the seroma fluid. The disease was confined to the seroma fluid without capsule invasion (T1AN0M0).

Treatment consisted of bilateral implant removal with en bloc capsulectomies and immediate implant replacement. Her post op course has been uneventful with normal follow up. She remains free of local recurrence or distant disease up to 24 months post op.

Keywords : Breast implant associated anaplastic large cell lymphoma; BIA-ALCL; Textured breast implants; Breast implants risk; Late seroma.

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