Table 2.
Extent and pathologic stage of lymphoma in complete capsulectomies from patients without grossly identifiable breast implant anaplastic large cell lymphoma
Case # | Quality of luminal surfacea |
Presence of lymphoma cells in capsuleb |
% of capsule involved by lymphoma |
Number of sections examined |
Number of sections (+) for lymphoma |
% sections (+) for lymphoma |
Average size of sections (cm) |
Pathologic stage (T0–T4)c |
---|---|---|---|---|---|---|---|---|
1 | Excellent | No | 0 | 15 | 0 | 0 | 1.3 | 0 |
2 | Adequate | No | 0 | 51 | 0 | 0 | 1 | 0 |
3 | Excellent | No | 0 | 42 | 0 | 0 | 1.4 | 0 |
4 | Excellent | No | 0 | 24 | 0 | 0 | 1.4 | 0 |
5 | Poor | No | 0 | 24 | 0 | 0 | 1.5 | 0 |
6 | Poor | No | 0 | 12 | 0 | 0 | 1.5 | 0 |
7 | Adequate | Yes | 5 | 12 | 7 | 58 | 2.1 | 1 |
8 | Excellent | Yes | 70 | 12 | 4 | 33 | 2 | 1 |
9 | Adequate | Yes | 30 | 7 | 3 | 43 | 2 | 1 |
10 | Adequate | Yes | 5 | 32 | 3 | 9 | 2 | 1 |
11 | Adequate | Yes | 30 | 93 | 60 | 64 | 3 | 1 |
12 | Adequate | Yes | 5 | 63 | 10 | 16 | 2.4 | 1 |
13 | Adequate | Yes | 5 | 12 | 1 | 8 | 1.7 | 1 |
14 | Adequate | Yes | 10 | 7 | 3 | 43 | 2 | 1 |
15 | Excellent | Yes | 20 | 4 | 2 | 50 | 2 | 1 |
16 | Adequate | Yes | 5 | 14 | 1 | 7 | 1.6 | 1 |
17 | Adequate | Yes | 1 | 102 | 20 | 20 | 2.5 | 1 |
18 | Excellent | Yes | 1 | 28 | 1 | 4 | 1.7 | 1 |
19 | Excellent | Yes | 10 | 51 | 2 | 4 | 2 | 1 |
20 | Excellent | Yes | 80 | 2 | 2 | 100 | 2 | 2 |
21 | Adequate | Yes | 10 | 50 | 10 | 20 | 2.5 | 2 |
22 | Adequate | Yes | 50 | 20 | 10 | 50 | 2.5 | 2 |
23 | Adequate | Yes | 20 | 10 | 7 | 70 | 2.1 | 2 |
24 | Adequate | Yes | 10 | 51 | 51 | 100 | 3 | 2 |
25 | Adequate | Yes | 50 | 2 | 1 | 50 | 1.8 | 2 |
26 | Excellent | Yes | 10 | 52 | 52 | 100 | 3 | 2 |
27 | Excellent | Yes | 50 | 60 | 60 | 100 | 3 | 2 |
28 | Adequate | Yes | 10 | 40 | 20 | 50 | 2.6 | 2 |
29 | Adequate | Yes | 80 | 10 | 10 | 100 | 2.5 | 2 |
30 | Adequate | Yes | 5 | 33 | 2 | 6 | 2 | 2 |
31 | Excellent | Yes | 70 | 10 | 10 | 100 | 2.5 | 2 |
32 | Adequate | Yes | 10 | 10 | 5 | 50 | 2 | 2 |
33 | Poor | Yes | 40 | 3 | 2 | 67 | 2 | 3 |
34 | Excellent | Yes | 10 | 12 | 1 | 8 | 2 | 3 |
35 | Adequate | Yes | 70 | 10 | 10 | 100 | 2.5 | 3 |
36 | Excellent | Yes | 50 | 27 | 27 | 100 | 3 | 3 |
37 | Adequate | Yes | 70 | 19 | 14 | 74 | 2.5 | 3 |
38 | Poor | Yes | 70 | 22 | 17 | 77 | 2.5 | 3 |
39 | Excellent | Yes | 80 | 10 | 9 | 90 | 2.4 | 3 |
40 | Adequate | Yes | 20 | 28 | 5 | 18 | 2 | 3 |
41 | Adequate | Yes | 80 | 38 | 30 | 79 | 3 | 3 |
42 | Adequate | Yes | 80 | 11 | 9 | 82 | 2.4 | 3 |
43 | Adequate | Yes | 50 | 130 | 90 | 69 | 3 | 3 |
44 | Adequate | Yes | 20 | 66 | 60 | 91 | 3 | 3 |
45 | Excellent | Yes | 90 | 20 | 14 | 70 | 2.5 | 3 |
46 | Adequate | Yes | 30 | 18 | 5 | 28 | 2 | 4 |
47 | Adequate | Yes | 30 | 6 | 2 | 33 | 2 | 4 |
48 | Excellent | Yes | 30 | 240 | 5 | 2 | 2.1 | 4 |
49 | Adequate | Yes | 60 | 16 | 10 | 63 | 2.5 | 4 |
50 | Adequate | Yes | 5 | 26 | 8 | 31 | 2.3 | 4 |
(+): 44 (88%) | Median 10%; Range: 0–90% | Median, 20; Range: 2–240 | Median, 6; Range: 0–90 | Median 46.5 %; Range 0–100% | Median section size 2.1 cm; Range 1.0–3.0 cm | 36% invasive cases (pathologic stage 3 and 4) |
Assessment of the quality of orientation of capsules of patients with breast implant ALCL with total capsulectomy: Excellent: ≥50% of sections display luminal surface; Adequate: 10–49% of sections show luminal surface; Poor: <10% of capsule sections exhibit luminal surface
Negative cases include capsule without identifiable lymphoma cells; lymphoma cells were only in the cytology specimen