TABLE 1.
Clinical Characteristics of Patients With BI-ALCL and LNI (n = 14)
Case No. | References | Age (y) | Reason For Implants | Clinical Presentation | Extent of Periimplant Capsule Involvement | Timing of LNI* |
---|---|---|---|---|---|---|
1 | Aladily11 | 63 | Cancer | Effusion | Within | (+) 37 |
2 | Alobeid et al16 | 68 | Cancer | L axillary node | Within | (−) 5 |
3 | Aladily11 | 57 | Cosmetic | Effusion, mass | Beyond | Synchronous |
4 | Clemens et al5 | 52 | Cosmetic | Mass | Beyond | Synchronous |
5 | Miranda et al3 | 40 | Cosmetic | L axillary node | Beyond | (−) 36 |
6 | George17 | 67 | Cancer | Effusion | Within | (+) 6 |
7 | Estes et al18 | 77 | Cosmetic | Effusion, mass | Within | (+) 13 |
8 | Miranda et al3 | 41 | Cosmetic | Effusion, mass | Beyond | (+) 21 |
9 | Unpublished | 72 | Cancer | Effusion, mass | Beyond | (+) 36 |
10 | Clemens et al5 | 54 | Cancer | Effusion, mass | Within | (+) 22 |
11 | Acevedo-Banez et al19 | 50 | Cancer | Mass | Beyond | Synchronous |
12 | Tardio and Granados20 | 51 | Cancer | L axillary node, mass | Within | Synchronous |
13 | Laurent et al21 | 83 | Cancer | Mass | Beyond | Synchronous |
14 | Unpublished | 51 | Cosmetic | R axillary node, mass | Beyond | Synchronous |
Location of LNI | Clinical Stage Ann Arbor on Presentation | Clinical Stage MDACC† on Presentation | Management | Time Follow-up (mo) | Outcome | Cause of Death |
Axilla | I | IB | Surgery, chemotherapy | 100 | CR | NA |
Axilla bilateral | II | IIB | Surgery, chemotherapy | 71 | CR | NA |
Supraclavicular, internal mammary | II | III | Surgery, chemotherapy, radiotherapy | 100 | CR | NA |
Axilla, infraclavicular | II | III | Surgery, chemotherapy, radiotherapy | 7 | DOD | Mediastinal mass with bronchial compression |
Axilla, supraclavicular, internal mammary, mediastinal, infraclavicular | II | III | Surgery, chemotherapy, radiotherapy, ASCT | 100 | CR | NA |
Axilla, mediastinal, internal mammary | I | IB | Surgery, chemotherapy | 14 | CR | NA |
Axilla | I | IB | Surgery, chemotherapy, radiotherapy | 41 | CR | NA |
Axilla | I | IIA | Surgery, chemotherapy, radiotherapy | 47 | CR | NA |
Axilla | I | IIA | Surgery | 38 | AWD | NA |
Axilla | I | IIB | Surgery, chemotherapy | 30 | CR | NA |
Axilla contralateral | IV | IV | Surgery, chemotherapy, radiotherapy | 20 | CR | NA |
Axilla | II | IIB | Surgery, chemotherapy, radiotherapy | 29 | CR | NA |
Axilla | II | III | Surgery, chemotherapy, immunotherapy | 13 | DOD | ALCL (manner of death not determined) |
Axilla | II | III | Surgery, chemotherapy, radiotherapy | 60 | CR | NA |
Surgical therapy encompasses partial surgery, complete surgery.
Timing of LNI:synchronous: LNI and periimplant capsule BI-ALCL diagnoses at the same time; (+ value): months after periimplant capsule diagnosis; (−value): months before periimplant capsule diagnosis.
Clinical staging according to Clemens et al5.
ASCT indicates autologous stem cell transplant; CR, complete remission; NA, not available.