Evidence map›Paper›PMID 32497784›Full record

ArticleInternational journal of surgery case reports2020

Bilateral breast implant associated chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL): A case report.

Patrick P Bletsis, Laura E Janssen, Otto Visser, Saskia R Offerman, Michiel A Tellier, Laurens Laterveer, Peter Houpt

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. An Update on Implant-Associated Malignancies and Their Biocompatibility.International journal of molecular sciences · 2024
    Review
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Patrick P BletsisFaculty of Medical Sciences, University of Groningen, Groningen, the Netherlands; Department of Plastic and Reconstructive Surgery, Isala Clinics, Zwolle, the Netherlands. Electronic address: p.p.bletsis@student.rug.nl.
Laura E JanssenDepartment of Plastic and Reconstructive Surgery, Isala Clinics, Zwolle, the Netherlands.
Otto VisserDepartment of Hematology, Isala Clinics, Zwolle, the Netherlands.
Saskia R OffermanDepartment of Pathology, Isala Clinics, Zwolle, the Netherlands.
Michiel A TellierDepartment of Plastic and Reconstructive Surgery, Isala Clinics, Zwolle, the Netherlands.
Laurens LaterveerDepartment of Hematology, Isala Clinics, Zwolle, the Netherlands.
Peter HouptDepartment of Plastic and Reconstructive Surgery, Isala Clinics, Zwolle, the Netherlands.
Isala · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn estimated 30.000 breast implants are placed in the Netherlands annually. An increasing amount of reports have linked implants to the rare anaplastic large cell lymphoma (ALCL). Other implant-related lymphomas, such as those of B-cell lineage, are much rarer. PRESENTATION OF CASE: A 62-year-old female presented with pain and Baker grade III capsular contraction of the right breast. Subpectorally placed textured anatomical implants had been in situ for 26 years after cosmetic augmentation. Magnetic Resonance Imaging (MRI) showed bilateral implant leakage. Explantation of both implants confirmed bilateral leakage after which symptoms went into remission. Three months later our patient noticed an erythematous area, scar swelling and serous fluid leakage on the lateral side of the inframammary fold of the right breast. Siliconomas were excised bilaterally together with a partial capsulectomy on the left. Histopathology and immunohistochemical analysis showed monotonous small cell B-lymphocytic infiltration (CD20+, CD5+, CD23+, ALK-) in both capsules, highly suggestive for chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL). DISCUSSION: CLL/SLL are classified as nearly the same disease. The primary difference is the localization; CLL is found the bone marrow and blood whereas SLL is predominantly in the lymph nodes and spleen. There are no previous descriptions of bilateral CLL/SLL found in periprosthetic capsules.

conclusionBreast implants are increasingly linked to various malignancies. In most cases, including our patient, implant explantation together with long-term follow-up suffices. MRI yields additional value in early stage diagnosis. More research is required to further optimize multidisciplinary care and improve patient outcomes.

Indexed as

B-cell lymphomaBreast implantCase reportChronic lymphocytic leukemiaSmall lymphocytic lymphoma

Identifiers

PMID32497784
PMCPMC7267678
OpenAlexW3032938633

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.