Abstract
On occasion, the placement of orthopedic prosthetic components or stabilization hardware
leads to surgical site infections, in some cases presenting at a point in time distant
from the surgical procedure. Although infectious complications are the most common
etiology for surgical site pain and inflammation, malignancies can also develop around
prosthetic devices and metallic implants. When encountered, such malignancies are
most often sarcoma, but rarely B-cell non-Hodgkin’s lymphoma has also been described.
In this article, we describe what we believe to be the first published case of anaplastic
large T-cell lymphoma associated with a stainless steel fixation plate that was implanted
several years earlier for repair of a tibial fracture. Appropriate to this case, we
review the medical literature on the association of orthopedic implants with the development
of neoplasm, along with the theorized pathogenic mechanisms leading to such an association.
Level of Clinical Evidence
Keywords
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References
- Orthopedic implant-related sarcoma: a study of twelve cases.Mod Pathol. 2001; 14: 969-977
- Metallic implant-associated lymphoma: a distinct subgroup of large B-cell lymphoma related to pyothorax-associated lymphoma?.Am J Surg Pathol. 2005; 29: 832-836
- Periprosthetic high-grade B-cell lymphoma complicating an infected revision total hip arthroplasty.J Arthroplasty. 2001; 16: 229-232
- Osseous malignant non-Hodgkin’s B-cell lymphoma associated with total hip replacement.Leuk Lymphoma. 2002; 43: 2213-2216
- The incidence of cancer following total hip replacement.J Bone Joint Surg Br. 1988; 70: 539-542
- Cancer risk after metal on metal and polyethylene on metal total hip arthroplasty.Clin Orthop Relat Res. 1996; 329: S280-S289
- Cancer incidence after total knee arthroplasty: a nationwide Finnish cohort from 1980 to 1996 involving 9,444 patients.Acta Orthop Scand. 1999; 70: 609-617
- Malignant neoplasms associated with orthopedic implant materials in rats.J Orthop Res. 1986; 4: 346-355
- World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues: report of the Clinical Advisory Committee meeting—Airline House, Virginia, November 1997.J Clin Oncol. 1999; 17: 3835-3849
- Primary and secondary T-cell lymphomas of the breast: clinico-pathologic features of 11 cases.Appl Immunohistochem Mol Morphol. 2009; 17: 301-306
- Rheumatoid arthritis and malignant lymphomas.Curr Opin Rheumatol. 2004; 16: 254-261
- Malignant lymphoma with intranodal silicone rubber particles following metacarpophalangeal joint replacements.Hand. 1982; 14: 326-328
- Widespread dissemination of metal debris from implants.J Bone Joint Surg Br. 1994; 76: 701-712
Article info
Publication history
Published online: September 27, 2010
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.