Evidence map›Paper›PMID 37098615›Full record

ArticleDiagnostic pathology2023

Breast implant associated EBV-positive Diffuse Large B-cell lymphoma: an underrecognized entity?

Johanna Vets, Lukas Marcelis, Charlotte Schepers, Yaliva Dorreman, Sanne Verbeek, Lieve Vanwalleghem, Katrien Gieraerts, Liesbeth Meylaerts, Jan Lesaffer, Helena Devos and 4 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostic pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Splenic cyst deroofing complicated with B lymphoma.World journal of surgical oncology · 2024
    Article
  8. Review
  9. An Update on Implant-Associated Malignancies and Their Biocompatibility.International journal of molecular sciences · 2024
    Review
  10. Review
  11. EBV-Related Lymphoproliferative Diseases: A Review in Light of New Classifications.Mediterranean journal of hematology and infectious diseases · 2024
    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

14 authors at 5 institutions in 1 country.

Johanna Vets *Translational Cell and Tissue Research Laboratory, KU Leuven, Leuven, Belgium.
Lukas Marcelis *Translational Cell and Tissue Research Laboratory, KU Leuven, Leuven, Belgium.
Charlotte SchepersDepartment of Pathology, UZ Leuven, University Hospitals, Leuven, Belgium.
Yaliva DorremanDepartment of Oncological Surgery, UZ Ghent, Brugge, Belgium.
Sanne VerbeekDepartment of Pathology, ZOL, Genk, Belgium.
Lieve VanwalleghemDepartment of Pathology, AZ Sint-Jan, Brugge, Belgium.
Katrien GieraertsDepartment of Radiology, AZ Sint-Jan, Brugge, Belgium.
Liesbeth MeylaertsDepartment of Radiology, ZOL, Genk, Belgium.
Jan LesafferDepartment of Oncological Surgery, Sint-Jan, Brugge, AZ, Belgium.
Helena DevosDepartment of Laboratory Medicine, AZ Sint-Jan, Brugge, Belgium.
Natalie PutDepartment of Hematology, ZOL, Genk, Belgium.
Sylvia SnauwaertDepartment of Hematology, AZ Sint-Jan, Brugge, Belgium.
Pascale De Paepe *Department of Pathology, AZ Sint-Jan, Brugge, Belgium.
Thomas Tousseyn *Translational Cell and Tissue Research Laboratory, KU Leuven, Leuven, Belgium. thomas.tousseyn@uzleuven.be.
AZ Sint-Jan · BEZiekenhuis Oost-Limburg · BEKU Leuven · BEUniversitair Ziekenhuis Leuven · BEGhent University · BE

Funding

Universitaire Ziekenhuizen Leuven, KU Leuven RT0817
6 · The paper itself

Abstract

Breast-implant associated (BIA) lymphoma is an infrequent type of cancer occurring in the fluid and fibrous capsule around a textured breast implant. Recently, both the 2022 WHO 5th edition classification of Haematological tumours (WHO HAEM5) and 2022 International Consensus Classification of Mature Lymphoid Neoplasms (22ICC), recognized breast implant-associated Anaplastic Large Cell Lymphoma (BIA-ALCL) as a definitive entity, defined as a mature CD30-positive T-cell lymphoma, confined by a fibrous capsule, in a breast implant setting. Only few B-cell lymphomas have been reported in the literature to be associated with breast implants. Here we report two EBV-positive Diffuse Large B-cell lymphomas (EBV + DLBCL) in relation to a breast implant, both expressing CD30 as well as EBV latency type 3. Both lesions were considered as DLBCL associated with chronic inflammation (CI-DLBCL), but one presented as a 7 cm solid mass, while the other presented as a fibrin-associated DLBCL (FA-DLBCL) in an HIV patient. Clinically, both are in complete remission 6 months or longer after capsulectomy and graft removal, without additional chemotherapy.Such cases, characterized by large CD30-positive cells, can easily be misdiagnosed as BIA-ALCL if the cell of origin is not further established. Therefore, a diagnostic panel including lineage-specific B-and T-cell markers and EBER in situ hybridization is essential to recognize this rare entity, to understand lymphomagenesis, to predict outcome and to define clinical approach.

Indexed as

Breast ImplantsBreast NeoplasmsHIV InfectionsLymphoma, Large B-Cell, DiffuseLymphoma, Large-Cell, AnaplasticFemaleHerpesvirus 4, HumanHumansKi-1 AntigenKi-1 AntigenBIA-DLBCLBreast implant associated lymphomaCI-DLBCLEBV + DLBCLFA-DLBCL

Identifiers

PMID37098615
PMCPMC10127423
OpenAlexW4366987940

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.