Evidence map›Paper›PMID 36502569›Full record

GuidelineBreast (Edinburgh, Scotland)2022

Clinical recommendations for diagnosis and treatment according to current updated knowledge on BIA-ALCL.

Benedetto Longo, Arianna Di Napoli, Giuseppe Curigliano, Paolo Veronesi, Stefano Pileri, Maurizio Martelli, Roy De Vita, Nicola Felici, Pierfrancesco Cirillo, Claudio Bernardi and 4 more

Open access · goldAbstract readPractice Guideline
In one paragraph

Guideline in Breast (Edinburgh, Scotland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
11.8field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 55 citations in OpenAlex.

  1. The impact of breast cancer on cosmetic breast augmentation outcomes and screening challenges in patients with implants: a literature review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
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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

14 authors at 4 institutions in 1 country.

Benedetto LongoChair of Plastic Surgery, Department of Surgical Sciences, School of Medicine and Surgery, Tor Vergata University of Rome, Italy. Electronic address: benedetto.longo@uniroma2.it.
Arianna Di NapoliGroup of Experts on BIA-ALCL at the Italian Ministry of Health, Italy; Department of Clinical and Molecular Medicine, Sapienza University, Sant'Andrea Hospital, Rome, Italy.
Giuseppe CuriglianoGroup of Experts on BIA-ALCL at the Italian Ministry of Health, Italy; Division of Early Drug Development for Innovative Therapies, IEO, European Institute of Oncology IRCCS, Milan, Italy; Department of Oncology and Haemato-Oncology, University of Milano, Milan, Italy.
Paolo VeronesiGroup of Experts on BIA-ALCL at the Italian Ministry of Health, Italy; Department of Oncology and Haemato-Oncology, University of Milano, Milan, Italy; Division of Breast Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Stefano PileriGroup of Experts on BIA-ALCL at the Italian Ministry of Health, Italy; Haematopathology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Maurizio MartelliGroup of Experts on BIA-ALCL at the Italian Ministry of Health, Italy; Department of Translational and Precision Medicine "Sapienza" University, Rome, Italy.
Roy De VitaGroup of Experts on BIA-ALCL at the Italian Ministry of Health, Italy; Plastic Surgery Department, National Institute for Cancer, Rome, Italy.
Nicola FeliciPresident of the Italian Society of Microsurgery (SIM), Division of Limbs Reconstructive Surgery, San Camillo-Forlanini Hospital, Rome, Italy.
Pierfrancesco CirilloPresident of the Italian Association of Aesthetic Plastic Surgery (AICPE). Private Practice, Via Sergio Forti, 39, 00144, Rome, Italy.
Claudio BernardiPresident Elect of the Italian Association of Aesthetic Plastic Surgery (AICPE). Private Practice, Via Anneo Lucano, 5, 00136, Rome, Italy.
Gennaro D'orsiDepartment of Surgical Sciences, School of Medicine and Surgery, PhD Program in Medical-Surgical Applied Sciences, Tor Vergata University of Rome, Italy.
Martina GiacaloneChair of Plastic Surgery, Department of Surgical Sciences, School of Medicine and Surgery, Tor Vergata University of Rome, Italy.
Gabriele StortiChair of Plastic Surgery, Department of Surgical Sciences, School of Medicine and Surgery, Tor Vergata University of Rome, Italy.
Valerio CervelliChair of Plastic Surgery, Department of Surgical Sciences, School of Medicine and Surgery, Tor Vergata University of Rome, Italy.
University of Rome Tor Vergata · ITMinistero della Salute · ITEuropean Institute of Oncology · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shared strategies and correct information are essential to guide physicians in the management of such an uncommon disease as Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). A systematic review of the literature was performed to collect the most relevant evidence on BIA-ALCL reported cases. A panel of multidisciplinary experts discussed the scientific evidence on BIA-ALCL, and updated consensus recommendations were developed through the Delphi process. The lastest reported Italian incidence of BIA-ALCL is 3.5 per 100.000 implanted patients (95% CI, 1.36 to 5.78), and the disease counts over 1216 cases worldwide as of June 2022. The most common presentation symptom is a late onset seroma followed by a palpable breast mass. In the event of a suspicious case, ultrasound-guided fine-needle aspiration should be the first step in evaluation, followed by cytologic and immunohistochemical examination. In patients with confirmed diagnosis of BIA-ALCL confined to the capsule, the en-bloc capsulectomy should be performed, followed by immediate autologous reconstruction, while delayed reconstruction applies for disseminate disease or radically unresectable tumor. Nevertheless, a multidisciplinary team approach is essential for the correct management of this pathology.

Indexed as

Breast ImplantationBreast ImplantsBreast NeoplasmsLymphoma, Large-Cell, AnaplasticBreastFemaleHumansSystematic Reviews as TopicALCLAnaplastic large cell lymphomaBIA-ALCLBreast cancerBreast implantsBreast reconstruction

Identifiers

PMID36502569
PMCPMC9763507
OpenAlexW4311166086

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.