Table 2 Extent and pathologic stage of lymphoma in complete capsulectomies from patients without grossly identifiable breast implant anaplastic large cell lymphoma

From: A proposal for pathologic processing of breast implant capsules in patients with suspected 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)

  1. aAssessment 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
  2. bNegative cases include capsule without identifiable lymphoma cells; lymphoma cells were only in the cytology specimen
  3. cPathologic stage according to Clemens et al. [15], and Quesada et al. [9]. Pathologic stage T0 modified to include cases with effusion only, without lymphoma cells in capsules