Evidence map›Paper›PMID 33146828›Full record

ArticleCancer immunology, immunotherapy : CII2021

IL-10, IL-13, Eotaxin and IL-10/IL-6 ratio distinguish breast implant-associated anaplastic large-cell lymphoma from all types of benign late seromas.

Arianna Di Napoli, Daniele Greco, Giorgia Scafetta, Francesca Ascenzi, Alessandro Gulino, Luigi Aurisicchio, Fabio Santanelli Di Pompeo, Adriana Bonifacino, Enrico Giarnieri, John Morgan and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Dynamic changes in serum IL-6, TNF-Frontiers in medicine · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. An Update on Implant-Associated Malignancies and Their Biocompatibility.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. A Case of ALK-Positive Anaplastic Large Cell Lymphoma of the Male Breast.International medical case reports journal · 2023
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
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  20. Review
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

12 authors at 4 institutions in 2 countries.

Arianna Di NapoliDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Roma, Italy. arianna.dinapoli@uniroma1.it.ORCID http://orcid.org/0000-0002-3159-5380
Daniele GrecoTumor Immunology Unit, Human Pathology Section, Department of Health Science, Palermo University School of Medicine, Palermo, Italy.
Giorgia ScafettaDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Roma, Italy.
Francesca AscenziDepartment of Clinical and Molecular Medicine, Risk Management Q and A, Sant'Andrea Hospital, "Sapienza" University, Rome, Italy.
Alessandro GulinoTumor Immunology Unit, Human Pathology Section, Department of Health Science, Palermo University School of Medicine, Palermo, Italy.
Luigi AurisicchioTakis Biotech, Rome, Italy.
Fabio Santanelli Di PompeoPlastic Surgery Unit, Sant'Andrea Hospital, Sapienza University, Roma, Italy.
Adriana BonifacinoBreast Unit, Sant'Andrea Hospital, Sapienza University, Roma, Italy.
Enrico GiarnieriDepartment of Clinical and Molecular Medicine, Sapienza University, Cytology Unit, Sant'Andrea Hospital, Roma, Italy.
John MorganDepartment of Pathology and Laboratory Medicine, Albert School of Medicine, Brown University, Providence, Rhode Island, USA.
Rita Mancini *Department of Clinical and Molecular Medicine, Risk Management Q and A, Sant'Andrea Hospital, "Sapienza" University, Rome, Italy.
Marshall E Kadin *Department of Pathology and Laboratory Medicine, Albert School of Medicine, Brown University, Providence, Rhode Island, USA.
Azienda Ospedaliera Sant'Andrea · ITBrown University · USUniversity of Palermo · ITSapienza University of Rome · IT

Funding

Aesthetic Surgery Education and Research Foundation 8580Associazione Italiana per la Ricerca sul Cancro IG17009LazioInnova 85-2017-13750Ministero dell'Istruzione, dell'Università e della Ricerca PRIN 2017Sapienza Università di Roma Ateneo 2017
6 · The paper itself

Abstract

Breast implant-associated anaplastic large-cell lymphoma (BI-ALCL) is an uncommon peripheral T cell lymphoma usually presenting as a delayed peri-implant effusion. Chronic inflammation elicited by the implant has been implicated in its pathogenesis. Infection or implant rupture may also be responsible for late seromas. Cytomorphological examination coupled with CD30 immunostaining and eventual T-cell clonality assessment are essential for BI-ALCL diagnosis. However, some benign effusions may also contain an oligo/monoclonal expansion of CD30 + cells that can make the diagnosis challenging. Since cytokines are key mediators of inflammation, we applied a multiplexed immuno-based assay to BI-ALCL seromas and to different types of reactive seromas to look for a potential diagnostic BI-ALCL-associated cytokine profile. We found that BI-ALCL is characterized by a Th2-type cytokine milieu associated with significant high levels of IL-10, IL-13 and Eotaxin which discriminate BI-ALCL from all types of reactive seroma. Moreover, we found a cutoff of IL10/IL-6 ratio of 0.104 is associated with specificity of 100% and sensitivity of 83% in recognizing BI-ALCL effusions. This study identifies promising biomarkers for initial screening of late seromas that can facilitate early diagnosis of BI-ALCL.

Indexed as

AdultAgedChemokine CCL11Diagnosis, DifferentialFemaleHumansInterleukin-10Interleukin-13Interleukin-6Lymphoma, Large-Cell, AnaplasticMiddle AgedNeoplasmsROC CurveSensitivity and SpecificitySeromaTh2 CellsChemokine CCL11Interleukin-10Interleukin-13Interleukin-6BI-ALCLCytokinesDiagnosisSeroma

Identifiers

PMID33146828
PMCPMC8053183
OpenAlexW3096895222

What OpenQuestion holds

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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.