Case report: Early breast cancer recurrence mimicking bia-alcl in a patient with multiple breast procedures

breast reconstruction plays a fundamental role in the therapeutic process of breast cancer treatment and breast implants represents the leading breast reconstruction strategy. breast Implant associated-anaplastic large cell lymphoma (BIA-ALCL), locoregional recurrence in the skin flap, and skin flap necrosis are well-known complications following mastectomy and immediate breast reconstruction (IBR). we report a case of locoregional cancer recurrence in the mastectomy flap mimicking BIA-ALCL, in a patient who underwent 6 breast procedures in four facilities across 15 years including immediate breast reconstruction with macrotextured breast implants. despite the rate and onset of the disease, clinicians should be aware of BIA-ALCL. due to the risk of false negative results of fine needle aspiration, clinical suspicion of BIA-ALCL should drive clinicians’ choices, aside from cytological results. In the present case, surgical capsulectomy of the abnormal periprosthesic tissue revealed locoregional recurrence.