scholarly journals En Bloc Capsulectomy with Implant Explantation in a High-Risk Patient with Breast Implant Illness: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Zuhair Irfan ◽  
Aamir Siddiqui ◽  
Donna Tepper ◽  
Zuhair Irfan
Keyword(s):  
Case Report ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
High Risk Patient ◽  
Large Cell ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Uncontrolled Hypertension ◽  
Unknown Etiology ◽  
En Bloc

En bloc resection with capsulectomy in breast implant surgery may be problematic and challenging, with limited indications aside from Breast Implant Associated Anaplastic Large Cell Lymphoma [1, 2]. This is a case report highlighting the technique and tools utilized intraoperatively in higher risk circumstances with a 35-year-old female patient and her medical team requesting explantation with total capsulectomy as a compassionate measure for a perceived contribution towards the patient’s uncontrolled hypertension of unknown etiology [3].

scholarly journals Stepwise En Bloc Resection of Breast Implant-Associated Anaplastic Large Cell Lymphoma with Oncologic Considerations

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Sarah E Tevis ◽  
Kelly K Hunt ◽  
Mark W Clemens
Keyword(s):  
Lymph Node ◽  
Anaplastic Large Cell Lymphoma ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Large Cell ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Axillary Lymph ◽  
En Bloc ◽  
Large Cell Lymphoma

Abstract Guidelines published by the National Comprehensive Cancer Network state that standard of care treatment for the majority of patients with breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is surgical resection. This cancer is generally indolent, and if confined to the capsule, curative treatment is usually surgery alone. An en bloc resection involves a total capsulectomy, explantation, complete excision of associated masses, and excision of any involved lymph node(s). Patients with surgical control of disease have favorable long-term overall and event-free survival. Oncologic principles should be applied when resecting BIA-ALCL, and a complete oncologic resection is essential to cure patients of the disease. Incomplete resections, partial capsulectomies, and positive margins are all associated with high rates of disease recurrence and have potential for progression of the disease. Routine sentinel lymph node biopsy is unnecessary and full axillary lymph node dissection is rarely indicated except in cases of proven involvement of multiple nodes. Lymphoma oncology consultation and disease staging by imaging is performed prior to surgery. Importantly, en bloc resection is indicated only for an established diagnosis of BIA-ALCL, and is not recommended for merely suspicious or prophylactic surgeries. The purpose of this article was to demonstrate a stepwise approach to surgical ablation of BIA-ALCL with an emphasis on oncologic considerations critical to disease prognosis.

scholarly journals En Bloc Capsulectomy for Breast Implant Illness: A Social Media Phenomenon?

2020 ◽  
Author(s):  
Grace Keane ◽  
David Chi ◽  
Austin Y Ha ◽  
Terence M Myckatyn
Keyword(s):  
Social Media ◽  
Surgical Treatment ◽  
Breast Implant ◽  
Treatment Options ◽  
Large Cell ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Public Understanding ◽  
Patient Centered ◽  
En Bloc

Abstract Background En bloc capsulectomy has recently increased in prominence as a potential surgical therapy for patients with breast implant illness (BII). However, this procedure has chiefly been recommended for treating breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Objectives This study aimed to review the current literature and evaluate the public understanding of treatment options for BII via social media to characterize any potential communication disconnect between clinicians and patients. Methods An electronic literature review was performed to identify all available publications mentioning evidence-based support for en bloc capsulectomy as treatment for BII and BIA-ALCL. Twitter social media posts referencing BII or BIA-ALCL were analyzed from 2010 to 2019. Author identity and any mention of surgical treatment were assessed. Results A total of 115 publications on the subject of BII and 315 articles on BIA-ALCL were identified. En bloc resection was recommended only for patients with a diagnosis of BIA-ALCL. A total of 6419 tweets referencing BII and 6431 tweets referencing BIA-ALCL were identified. Tweets referencing BIA-ALCL were significantly more likely to be authored by physicians (25.9% vs 5.3%, P < 0.001), and tweets referencing BII were significantly more likely to mention any surgical treatment (7.8% vs 1.9%, P < 0.001) and en bloc capsulectomy (1.4% vs 0.3%, P < 0.001). Conclusions This study demonstrates that a communication disconnect exists between the scientific literature and social media regarding treatment options for BII and BIA-ALCL. Physicians should be aware of these potential misconceptions to empathetically address patient concerns in a patient-centered manner.

Breast implant‐associated anaplastic large cell lymphoma with lymph node localization: case report and review of literature

2018 ◽  
Vol 89 (12) ◽  
pp. 1679-1682
Author(s):  
Giuseppe Broggi ◽  
Fabio Motta ◽  
Andrea Angilello ◽  
Carlo Bortolussi ◽  
Gaetano Meli ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Anaplastic Large Cell Lymphoma ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Large Cell ◽  
Review Of Literature ◽  
Node Localization ◽  
Large Cell Lymphoma

scholarly journals A Giant retroperitoneal liposarcoma encasing entirely the right kidney: A case report and a review of nephrectomy indications

2021 ◽  
Author(s):  
Houssem Harbi ◽  
Amira Akrout ◽  
Mohamed Fourati ◽  
Amine Zouari ◽  
Nozha Toumi
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Resection Margins ◽  
En Bloc ◽  
Retroperitoneal Liposarcoma ◽  
R1 Resection ◽  
The Right

A 68-year-old female was operated for a giant dedifferentiated retroperitoneal liposarcoma (RLS) encasing entirely the right kidney. She had an en-bloc resection of the tumor with right nephrectomy. The en-bloc resection should avoid R1 resection margins. Renal conservation is suggested if the kidney is widely displaced and for elderly patient.

scholarly journals Successful en bloc resection of an esophageal hemangioma by combined EBL & EMR: a case report and technical review

2016 ◽  
Vol 1 ◽  
pp. 45-45 ◽  
Author(s):  
Il Hyun Baek ◽  
Jung Won Jeon ◽  
Hyun Phil Shin ◽  
Jae Myung Cha ◽  
Kwang Ro Joo ◽  
...  
Keyword(s):  
Case Report ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Technical Review

scholarly journals En bloc resection of the external iliac vein along with broad ligament leiomyosarcoma: A case report

2019 ◽  
Vol 23 ◽  
pp. e00131 ◽  
Author(s):  
Fatima Ahmed ◽  
Rachel Pounds ◽  
Hong-Giap Teo ◽  
James Nevin ◽  
Kavita Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Broad Ligament ◽  
Iliac Vein ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
External Iliac Vein

Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report and Literature Review

2015 ◽  
Vol 39 (3) ◽  
pp. 391-395 ◽  
Author(s):  
Mei-Ju Hwang ◽  
Hamish Brown ◽  
Richard Murrin ◽  
Navid Momtahan ◽  
Guy D. Sterne
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Anaplastic Large Cell Lymphoma ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Large Cell ◽  
Large Cell Lymphoma
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