Breast implant associated anaplastic large cell lymphoma (BIA-ALCL): a challenging cytological diagnosis with hybrid PET/MRI staging and follow-up.
Francesco VerdeElena VigliarValeria RomeoMaria Raffaela CampaninoAntonello AccursoLuigi CantaNunzia GarbinoLuca BassoCarlo CavaliereEmanuele NicolaiMassimo ImbriacoPublished in: Breast cancer (Tokyo, Japan) (2020)
We report a case of a 55-year-old woman with left breast cosmetic augmentation performed 5 years earlier, showing at ultrasound a left small amount of peri-implant effusion suspicious for an anaplastic large cell lymphoma localization. The final diagnosis was obtained by cytology using a small amount of fluid (6 ml). Subsequently, hybrid 18F-FDG PET/MRI was used for pre-operative staging and follow-up. An appropriate management of BIA-ALCL could be obtained even in cases of a small amount of peri-implant effusion, using a comprehensive approach of clinical and imaging evaluation, including PET/MRI as useful and innovative staging imaging technique.
Keyphrases
- pet ct
- magnetic resonance imaging
- positron emission tomography
- contrast enhanced
- computed tomography
- pet imaging
- lymph node
- high resolution
- fine needle aspiration
- single cell
- diffusion weighted imaging
- diffuse large b cell lymphoma
- cell therapy
- ultrasound guided
- magnetic resonance
- high grade
- soft tissue
- stem cells
- fluorescence imaging