{"id":17257,"date":"2026-03-06T18:06:29","date_gmt":"2026-03-06T18:06:29","guid":{"rendered":"https:\/\/atlasemhematologia.com.br\/blog\/?p=17257"},"modified":"2026-03-24T20:14:03","modified_gmt":"2026-03-24T20:14:03","slug":"linfoma-bia-alcl","status":"publish","type":"post","link":"https:\/\/atlasemhematologia.com.br\/blog\/linfoma-bia-alcl\/","title":{"rendered":"Linfoma BIA-ALCL"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">O linfoma anapl\u00e1sico de grandes c\u00e9lulas associado a implantes mam\u00e1rios (BIA-ALCL) ganhou maior visibilidade ap\u00f3s o caso da influenciadora Evelin Camargo, o que contribuiu para ampliar o debate sobre essa neoplasia cl\u00ednica rara. Entretanto, para al\u00e9m da repercuss\u00e3o midi\u00e1tica, torna-se fundamental compreender esse linfoma sob a \u00f3tica laboratorial, uma vez que o diagn\u00f3stico precoce e o adequado acompanhamento dependem diretamente da integra\u00e7\u00e3o entre dados cl\u00ednicos, citopatol\u00f3gicos, histopatol\u00f3gicos e imunofenot\u00edpicos. Assim, o entendimento dos mecanismos fisiopatol\u00f3gicos e dos m\u00e9todos diagn\u00f3sticos \u00e9 essencial para a pr\u00e1tica laboratorial qualificada.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"618\" height=\"464\" src=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/image.png\" alt=\"\" class=\"wp-image-17258\" srcset=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/image.png 618w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/image-300x225.png 300w\" sizes=\"(max-width: 618px) 100vw, 618px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Aspectos fisiopatol\u00f3gicos e caracter\u00edsticas gerais<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O BIA-ALCL \u00e9 uma neoplasia linfoproliferativa rara, que se desenvolve predominantemente no espa\u00e7o periprot\u00e9tico de implantes mam\u00e1rios. De modo geral, apresenta-se sob a forma de derrame seroso tardio, massa capsular ou ambas as manifesta\u00e7\u00f5es. Esse linfoma n\u00e3o se origina do tecido mam\u00e1rio propriamente dito, mas sim do microambiente inflamat\u00f3rio cr\u00f4nico estabelecido ao redor do implante.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Diversos fatores contribuem para o desenvolvimento dessa neoplasia, destacando-se a estimula\u00e7\u00e3o antig\u00eanica persistente, a forma\u00e7\u00e3o de biofilmes bacterianos e a resposta imunol\u00f3gica prolongada. Al\u00e9m disso, a superf\u00edcie texturizada dos implantes parece exercer papel relevante na patog\u00eanese, favorecendo maior \u00e1rea de contato e, consequentemente, maior est\u00edmulo inflamat\u00f3rio. Dessa forma, o ambiente periprot\u00e9tico torna-se prop\u00edcio \u00e0 ativa\u00e7\u00e3o linfocit\u00e1ria cr\u00f4nica, o que pode culminar na transforma\u00e7\u00e3o neopl\u00e1sica.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Achados laboratoriais e diagn\u00f3stico citopatol\u00f3gico<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No contexto laboratorial, a an\u00e1lise do l\u00edquido periprot\u00e9tico constitui etapa essencial para o diagn\u00f3stico inicial. O material aspirado geralmente apresenta elevada celularidade, composta por grandes c\u00e9lulas pleom\u00f3rficas, com n\u00facleos irregulares, nucl\u00e9olos evidentes e citoplasma abundante. Frequentemente, observam-se figuras mit\u00f3ticas, al\u00e9m de fundo inflamat\u00f3rio vari\u00e1vel.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A citologia desempenha papel central na triagem diagn\u00f3stica, sobretudo quando associada \u00e0 imunocitoqu\u00edmica. A positividade para CD30 \u00e9 um achado caracter\u00edstico e indispens\u00e1vel para a confirma\u00e7\u00e3o diagn\u00f3stica, enquanto marcadores de linhagem T podem apresentar express\u00e3o vari\u00e1vel. Em contrapartida, a negatividade para ALK (Anaplastic Lymphoma Kinase) auxilia na diferencia\u00e7\u00e3o em rela\u00e7\u00e3o a outras variantes de linfoma anapl\u00e1sico de grandes c\u00e9lulas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Adicionalmente, a avalia\u00e7\u00e3o histopatol\u00f3gica da c\u00e1psula periprot\u00e9tica permite identificar padr\u00f5es de infiltra\u00e7\u00e3o neopl\u00e1sica, que podem variar desde crescimento superficial at\u00e9 invas\u00e3o mais profunda. Assim, a correla\u00e7\u00e3o entre citologia, histologia e imunofenotipagem torna-se imprescind\u00edvel para a defini\u00e7\u00e3o diagn\u00f3stica precisa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Import\u00e2ncia da imunofenotipagem e monitoramento laboratorial<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A imunofenotipagem, realizada por imunohistoqu\u00edmica ou citometria de fluxo, constitui ferramenta essencial para caracteriza\u00e7\u00e3o do BIA-ALCL. A express\u00e3o intensa e difusa de CD30, associada \u00e0 aus\u00eancia de ALK, confirma o perfil t\u00edpico dessa neoplasia. Al\u00e9m disso, marcadores como CD3, CD4 e CD43 podem auxiliar na identifica\u00e7\u00e3o da linhagem celular envolvida.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No acompanhamento cl\u00ednico, os exames laboratoriais assumem papel relevante na detec\u00e7\u00e3o precoce de recidivas e no monitoramento da resposta terap\u00eautica. A an\u00e1lise seriada de l\u00edquidos periprot\u00e9ticos, associada \u00e0 avalia\u00e7\u00e3o histopatol\u00f3gica quando indicada, permite identificar precocemente altera\u00e7\u00f5es suspeitas. Ademais, exames hematol\u00f3gicos de rotina auxiliam na avalia\u00e7\u00e3o do estado geral do paciente, especialmente durante o tratamento sist\u00eamico.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/eventos.atlasemhematologia.com.br\/listadeesperatimeblogatlas\"><img decoding=\"async\" width=\"1030\" height=\"276\" src=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-1030x276.png\" alt=\"\" class=\"wp-image-17314\" srcset=\"https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-1030x276.png 1030w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-300x80.png 300w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-768x206.png 768w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-1536x411.png 1536w, https:\/\/atlasemhematologia.com.br\/blog\/wp-content\/uploads\/2026\/03\/BANNER-BLOG-ATLAS-2048x549.png 2048w\" sizes=\"(max-width: 1030px) 100vw, 1030px\" \/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Refer\u00eancias<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">LONGO, Benedetto et al. Clinical recommendations for diagnosis and treatment according to current updated knowledge on BIA-ALCL. <strong>The Breast<\/strong>, v. 66, p. 332-341, 2022.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>MOLON, A. C. et al. LINFOMA ANAPL\u00c1SICO DE GRANDES C\u00c9LULAS ALK NEGATIVO RELACIONADO A PR\u00d3TESE MAM\u00c1RIA: UM RELATO DE CASO. <strong>Hematology, Transfusion and Cell Therapy<\/strong>, v. 47, p. 104733, 2025.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>DA COSTA SILVA, Ana Clara et al. Linfoma anapl\u00e1sico de grandes c\u00e9lulas associado a implante mam\u00e1rio: uma revis\u00e3o narrativa. <strong>Revista Eletr\u00f4nica Acervo Sa\u00fade<\/strong>, v. 12, n. 11, p. e4767-e4767, 2020.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O linfoma anapl\u00e1sico de grandes c\u00e9lulas associado a implantes mam\u00e1rios (BIA-ALCL) ganhou maior visibilidade ap\u00f3s o caso da influenciadora Evelin Camargo, o que contribuiu para ampliar o debate sobre essa neoplasia cl\u00ednica rara. Entretanto, para al\u00e9m da repercuss\u00e3o midi\u00e1tica, torna-se fundamental compreender esse linfoma sob a \u00f3tica laboratorial, uma vez que o diagn\u00f3stico precoce e [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":17259,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"categories":[7],"tags":[],"class_list":["post-17257","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casos-clinicos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Linfoma BIA-ALCL - Blog - Atlas em Hematologia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atlasemhematologia.com.br\/blog\/linfoma-bia-alcl\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Linfoma BIA-ALCL - Blog - Atlas em Hematologia\" \/>\n<meta property=\"og:description\" content=\"O linfoma anapl\u00e1sico de grandes c\u00e9lulas associado a implantes mam\u00e1rios (BIA-ALCL) ganhou maior visibilidade ap\u00f3s o caso da influenciadora Evelin Camargo, o que contribuiu para ampliar o debate sobre essa neoplasia cl\u00ednica rara. 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