Autopsy and Case Reports
https://www.autopsyandcasereports.org/article/doi/10.4322/acr.2021.296
Autopsy and Case Reports
Clinical Case Report

Systemic ALK-positive anaplastic large cell lymphoma involving implant site: a fortuitous association

Mayur Parkhi; Charanpreet Singh; Rajender Kumar; Pankaj Malhotra; Amanjit Bal

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Abstract

  Anaplastic lymphoma kinase (ALK) positive, anaplastic large cell lymphoma involving the non-mammary implant is an extremely rare presentation. Irrespective of the type or site, the implant-associated primary ALCL is morphologically and immunophenotypically similar to ALK-negative ALCLs. Herein, we present the case of a 42-year-old male who developed a lytic lesion after an implant for a right femur fracture. The lytic lesion biopsy revealed anaplastic large cell lymphoma with ALK protein expression. Imaging findings showed the widespread dissemination of disease all over the body, entrapping the implant too. ALCL involving the bone implant is a very unusual and rare presentation that needs to be documented.

Keywords

Femoral Fractures, Prostheses and Implants, Lymphoma, Large-Cell, Anaplastic, Anaplastic Lymphoma Kinase

References

1 Stein H, Foss HD, Dürkop H, et al. CD30(+) anaplastic large cell lymphoma: a review of its histopathologic, genetic, and clinical features. Blood. 2000;96(12):3681-95. PMid:11090048.

2 Stein H, Mason DY, Gerdes J, et al. The expression of the Hodgkin’s disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells. Blood. 1985;66(4):848-58. http://dx.doi.org/10.1182/blood.V66.4.848.848. PMid:3876124.

3 Gajendra S, Sachdev R, Lipi L, Goel S, Misra R. ALK positive anaplastic large cell lymphoma presenting as extensive bone involvement. J Clin Diagn Res. 2015;9(1):XD04-05. http://dx.doi.org/10.7860/JCDR/2015/11180.5437. PMid:25738071.

4 Bakshi NA, Ross CW, Finn WG, et al. ALK-positive anaplastic large cell lymphoma with primary bone involvement in children. Am J Clin Pathol. 2006;125(1):57-63. http://dx.doi.org/10.1309/J9R272ED50G4JW5F. PMid:16482992.

5 Keech JA Jr, Creech BJ. Anaplastic T-cell lymphoma in proximity to a saline-filled breast implant. Plast Reconstr Surg. 1997;100(2):554-5. http://dx.doi.org/10.1097/00006534-199708000-00065. PMid:9252643.

6 Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumour of haematopoietic and lymphoid tissues. Lyon: IARC Press; 2017.

7 Palraj B, Paturi A, Stone RG, et al. Soft tissue anaplastic large T-cell lymphoma associated with a metallic orthopedic implant: case report and review of the current literature. J Foot Ankle Surg. 2010;49(6):561-4. http://dx.doi.org/10.1053/j.jfas.2010.08.009. PMid:20870426.

8 Mendes J Jr, Maykeh VAM, Frascino LF, Zacchi FFS. Gluteal implant-associated anaplastic large cell lymphoma. Plast Reconstr Surg. 2019;144(3):610-3. http://dx.doi.org/10.1097/PRS.0000000000005910. PMid:31461013.

9 Parkhi M, Singh C, Malhotra P, Bal A. Non-mammary implant associated anaplastic large cell lymphoma. Pathology. 2021;53(2):282-5. http://dx.doi.org/10.1016/j.pathol.2020.06.022. PMid:32967772.

10 Sanchez-Gonzalez B, Garcia M, Montserrat F, et al. Diffuse large B-cell lymphoma associated with chronic inflammation in metallic implant. J Clin Oncol. 2013;31(10):e148-51. http://dx.doi.org/10.1200/JCO.2012.42.8250. PMid:23401446.

11 Kellogg BC, Hiro ME, Payne WG. Implant-associated anaplastic large cell lymphoma: beyond breast prostheses. Ann Plast Surg. 2014;73(4):461-4. http://dx.doi.org/10.1097/SAP.0b013e31827faff2. PMid:23722577.

12 Mahuad CV. Challenging role of new agents in the treatment of ALCL. Indian J Cancer. 2021;58(1):112-3. PMid:33402578.
 


Submitted date:
03/22/2021

Accepted date:
04/24/2021

Publication date:
08/20/2021

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