乳房置入物相关间变大细胞淋巴瘤的研究进展  

Advances in Breast Implant-associated Anaplastic Cell Lymphoma

作　　者：谢嘉桁(综述) 史京萍(审校)[1] XIE Jiaheng;SHI Jingping(Department of Burn and Plastic Surgery,the First Hospital Affi liated to Nanjing Medical University,Nanjing 210029,Jiangsu,China)

机构地区：[1]南京医科大学第一附属医院整形烧伤科,江苏南京210029

出　　处：《中国美容医学》2022年第6期186-189,共4页Chinese Journal of Aesthetic Medicine

摘　　要：乳房曲线是女性美的特征,因乳腺癌失去乳房会导致女性自卑、心理健康受损、社会融入度降低。乳房重建的出现有效改善了这一情况,其中置入物乳房重建是最常用的手术方式。但置入物相关并发症的发生影响手术效果、降低患者满意度,其中乳房置入物相关间变大细胞淋巴瘤(Breast implant-associated anaplastic cell lymphoma,BIA-ALCL)曾引起许多患者的恐慌。BIA-ALCL是一种非霍奇金T细胞淋巴瘤,常见临床表现为假体周围的延迟性血清肿,也可表现为实性肿块、包膜挛缩、腋窝淋巴结肿大等。及时诊治能够显著改善BIA-ALCL患者预后,延迟诊断后果严重,甚至导致死亡。我国乳房重建患者基数大,虽暂无BIA-ALCL病例被报道,但临床工作者仍需掌握此病的诊治方法,以提高临床效果和患者满意度。Breast curves are a feature of female beauty.Losing breasts due to breast cancer will lead to women’s inferiority,impaired mental health and reduced social integration.The emergence of breast reconstruction has effectively improved this situation,among which implant breast reconstruction is the most commonly used surgical method.However,the occurrence of implant-related complications can affect the surgical outcome and reduce patient satisfaction.Among them,breast implant-associated anaplastic cell lymphoma(BIA-ALCL)has caused panic in many patients.BIA-ALCL is a non-Hodgkin T cell lymphoma characterized by delayed seroma around the prosthesis,as well as solid mass,capsule contracture,and axillary lymph node enlargement.Prompt diagnosis and treatment can significantly improve the prognosis of BIA-ALCL patients,and delayed diagnosis can lead to serious consequences,even death.The patient base of breast reconstruction in China is large.Although no case of BIA-ALCL has been reported,clinical workers still need to master the diagnosis and treatment of this disease to improve the clinical effect and patient satisfaction.

关 键 词：乳房重建 淋巴瘤 乳房假体 并发症 

分 类 号：R655.8[医药卫生—外科学]