Evidence map›Paper›PMID 34226673›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2021

Epstein-Barr-virus-positive large B-cell lymphoma associated with breast implants: an analysis of eight patients suggesting a possible pathogenetic relationship.

L Jeffrey Medeiros, Mario L Marques-Piubelli, Valentina F I Sangiorgio, Roberto Ruiz-Cordero, Francisco Vega, Andrew L Feldman, Jennifer R Chapman, Mark W Clemens, Kelly K Hunt, Mark G Evans and 23 more

Erratum issuedOpen access · greenAbstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Breast-implant associated unicentric castleman disease: a case report.Current problems in cancer. Case reports · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. An Update on Implant-Associated Malignancies and Their Biocompatibility.International journal of molecular sciences · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Breast Implant-Associated Tumors.Geburtshilfe und Frauenheilkunde · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 14 institutions in 3 countries.

L Jeffrey MedeirosDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-6577-8006
Mario L Marques-PiubelliDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-6324-2096
Valentina F I SangiorgioDivision of Hematopathology, Department of Cellular Pathology, The Royal London Hospital. Barts Health NSH Trust, London, UK.
Roberto Ruiz-CorderoDepartment of Pathology, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-9747-6069
Francisco VegaDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-5956-452X
Andrew L FeldmanDivision of Hematopathology, Mayo Clinic College of Medicine, Rochester, MN, USA.ORCID 0000-0001-5009-4808
Jennifer R ChapmanDepartment of Pathology and Laboratory Medicine, University of Miami/Jackson Memorial Hospital, Miami, FL, USA.
Mark W ClemensDepartment of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Kelly K HuntDepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-9156-8723
Mark G EvansDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Christine KhooPathology Department, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Stephen LadePathology Department, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Mark SilbermanClinical Pathology Laboratory, Austin, TX, USA.
Jerzy MorkowskiMLD Pathology, Houston, TX, USA.
Edward M PinaPina Cosmetic Surgery, Dpt Surgery HCA Houston Healthcare Southeast, Houston, TX, USA.
Daniel C MillsAesthetic Plastic Surgical Institute, Laguna Beach, CA, USA.
Christopher M BatesPonte Vedra Plastic Surgery, Ponte Vedra Beach, FL, USA.
Winston B MagnoRegional Healthcare Associates, LLC, Waterbury, CT, USA.
Aliyah R SohaniDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-6307-4854
Beth A SielingDepartment of Surgery, St. Mary's Hospital, Trinity Health of New England, Waterbury, CT, USA.
Joseph M O'DonoghueDepartment of Plastic Surgery, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Chris M BaconDepartment of Cellular Pathology, Newcastle Upon Tyne Hospitals NHS Foundation Trust and Translational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Neill PataniDepartment of Breast Surgery, University College London Hospitals NHS Foundation Trust, London, UK.
Despina TelevantouDepartment of Cellular Pathology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Suzanne D TurnerDivision of Cellular and Molecular Pathology, Department of Pathology, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8439-4507
Laura JohnsonDepartment of Surgery, Barts Health NHS Trust, London, UK.
Fiona MacNeillDepartment of Surgery, The Royal Marsden NHS Foundation Trust, London, UK.
Andrew C WotherspoonDepartment of Histopathology, The Royal Marsden NHS Foundation Trust, London, UK.
Swaminathan P IyerDepartment of Myeloma and Lymphoma, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Luis E MalpicaDepartment of Myeloma and Lymphoma, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Keyur P PatelDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-5081-2427
Jie XuDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-9163-3898
Roberto N MirandaDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. roberto.miranda@mdanderson.org.ORCID 0000-0002-8467-5464
The University of Texas MD Anderson Cancer Center · USNewcastle upon Tyne Hospitals NHS Foundation Trust · GBBarts Health NHS Trust · GBPeter MacCallum Cancer Centre · AURoyal Marsden NHS Foundation Trust · GBAesthetic Surgery Center · USHarvard University · USMayo Clinic · USRegional Health · USTrinity Health · USUniversity College London Hospitals NHS Foundation Trust · GBUniversity of California, San Francisco · USUniversity of Cambridge · GBUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast implant anaplastic large cell lymphoma (ALCL) is a T-cell neoplasm arising around textured breast implants that was recognized recently as a distinct entity by the World Health Organization. Rarely, other types of lymphoma have been reported in patients with breast implants, raising the possibility of a pathogenetic relationship between breast implants and other types of lymphoma. We report eight cases of Epstein-Barr virus (EBV)-positive large B-cell lymphoma associated with breast implants. One of these cases was invasive, and the other seven neoplasms were noninvasive and showed morphologic overlap with breast implant ALCL. All eight cases expressed B-cell markers, had a non-germinal center B-cell immunophenotype, and were EBV+ with a latency type III pattern of infection. We compared the noninvasive EBV+ large B-cell lymphoma cases with a cohort of breast implant ALCL cases matched for clinical and pathologic stage. The EBV+ large B-cell lymphoma cases more frequently showed a thicker capsule, and more often were associated with calcification and prominent lymphoid aggregates outside of the capsule. The EBV+ B-cell lymphoma cells were more often arranged within necrotic fibrinoid material in a layered pattern. We believe that this case series highlights many morphologic similarities between EBV+ large B-cell lymphoma and breast implant ALCL. The data presented suggest a pathogenetic role for breast implants (as well as EBV) in the pathogenesis of EBV+ large B-cell lymphoma. We also provide some histologic findings useful for distinguishing EBV+ large B-cell lymphoma from breast implant ALCL in this clinical setting.

Indexed as

AdultAgedBiomarkers, TumorBreast ImplantationBreast ImplantsDiagnosis, DifferentialEpstein-Barr Virus InfectionsFemaleHumansLymphoma, Large B-Cell, DiffuseLymphoma, Large-Cell, AnaplasticMiddle AgedNeoplasm StagingPredictive Value of TestsProsthesis DesignRisk FactorsBiomarkers, Tumor

Identifiers

PMID34226673
OpenAlexW3179226375

What OpenQuestion holds

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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.