The incidence rate of primary breast anaplastic large cell lymphoma (ALCL) is rapidly rising in the US and has been associated with the use of textured breast implants.1,2,3 Existing literature has described cases of ALK-negative breast ALCL in patients with breast implants, associated with a distinct subtype of ALCL named breast implant–associated ALCL (BIA-ALCL). Here, ALK is linked to anaplastic large cell lymphoma.