Case Report

Breast Implant-Associated Anaplastic Large Cell Lymphoma: Case Report and Review of the Literature

Table 2

Summary of management of BIA-ALCL in patients presenting with mass and/or lymph node involvement and effusion alone.

ReferenceAge, yearsEffusionMassLymph node involvementTreatments (given in order listed)

Mass/node involvement
Zimmerman et al. [21]48YesNoYes6 cycles CHOP, bilateral total capsulectomy, 2 cycles salvage chemotherapy, 3 cycles anti-CD30 therapy with brentuximab vedotin, scheduled to receive stem cell transplant
Hwang et al. [22]48YesYesNoUnilateral capsulectomy, CHOP
Parthasarathy et al. [23]43NoYesYes2 cycles CHOP, cisplatin + gemcitabine, unilateral mastectomy with axillary nodes, RT (40 Gy in 15 fractions)
Tardio and Granados [24]50NoNoYesBilateral capsulectomy, 4 cycles CHOP, RT
Effusion only
Bautista-Quach et al. [25]52YesNoNo6 cycles CHOP
George et al. [26]67YesNoNoBilateral capsulectomy
De Silva et al. [27]38YesNoNoBilateral capsulectomy, RT (36 Gy in 20 fractions)
Smith and Ramsaroop [28]33YesNoNo6 cycles CHOP, bilateral capsulectomy
Wong et al. [29]40YesNoNoBilateral capsulectomy, referred for CHOP and RT
Sorensen et al. [30]59YesNoNoUnilateral capsulectomy on affected side and bilateral removal of implants

CHOP, cyclophosphamide, hydroxydaunorubicin, vincristine, and prednisone/prednisolone; RT, radiation therapy; Gy, Gray.