Comprehensive Evaluation of the Current Knowledge on Breast Implant Associated-Anaplastic Large Cell Lymphoma

Yoo, Hyang Keun; Park, Ji‐Ung; Chang, Hak

doi:10.1055/s-0042-1744422

Cited by 7 publications

(5 citation statements)

References 81 publications

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“…On the other hand, there are no confirmed cases of BIA-ALCL in patients in whom only smooth implants have been used. 45 However, these have a higher capsular contracture rate and risk of bottoming out. 46 In this study, all of our patients after the initial consultation chose textured implants and signed an informed consent including that these have been associated with BIA-ALCL (incidence rate is 0.33 per 1 million person-years in textured implants that use a negative-imprint stamping technique for texturization 43 ).…”

Section: Discussionmentioning

confidence: 99%

Can a Breast Augmentation Procedure Improve the Appearance of Pectus Excavatum Deformity in Female Patients? A Prospective Study

Keramidas,

Rodopoulou,

Gavala

2024

Plastic and Reconstructive Surgery - Global Open

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Background: This study evaluates a specific breast augmentation (BA) technique in patients with pectus excavatum(PE) and its results in improving this deformity, augmenting the breasts, and correcting the concurrent breast asymmetry. Methods: Twenty-eight patients with PE were treated from 2017 to 2021. All patients who visited our private practice were aiming to augment their breasts, correct their breast asymmetry, and improve their PE. The mean age of the patients was 25 years. In most cases, the submuscular dual-plane technique was chosen. Patients’ quality of life regarding their chest wall deformity was assessed using the Single Step Questionnaire (SSQ). Subjects’ quality of life regarding general self-esteem, psychosocial well-being, and physical function were assessed at initial screening and 24-month follow-up using the BREAST-Q V2 questionnaire. Also, patients filled out a pain-evaluating questionnaire concerning the first 5 postoperative days to determine the recovery of this specific technique. Results: No complications were observed. The SSQ revealed high satisfaction (mean score=73) and significant (P = 0.001) improvement following the operation. The improvements regarding psychosocial well-being, sexual well-being, and satisfaction with the BREAST-Q were also equally high (P = 0.001). The pain was minimal during the first five postoperative days. This is the first prospective study that evaluates the quality of life using both the SSQ, the validated BREAST-Q, and the pain score when performing BA in patients with PE and breast asymmetry using breast silicone implants. Conclusions: BA is a procedure that can give excellent results both regarding chest wall deformity and BA in PE patients.

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Section: Discussionmentioning

confidence: 99%

Can a Breast Augmentation Procedure Improve the Appearance of Pectus Excavatum Deformity in Female Patients? A Prospective Study

Keramidas,

Rodopoulou,

Gavala

2024

Plastic and Reconstructive Surgery - Global Open

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“…A similar result was described by Kricheldorff et al [69], who also reported the predominance of lymphoma-type cancer-more specifically, anaplastic large cell lymphoma (BIA-ALCL)-in women undergoing silicone breast implantation. BIA-ALCL is a type of non-Hodgkin's lymphoma that also originates from a silicone implant in the pectoral region of women [70]. Its genesis involves factors related to immunological interaction between tissue and prosthesis, bacterial growth in the implanted site, and genetic factors [70,71].…”

Section: Discussionmentioning

confidence: 99%

“…BIA-ALCL is a type of non-Hodgkin's lymphoma that also originates from a silicone implant in the pectoral region of women [70]. Its genesis involves factors related to immunological interaction between tissue and prosthesis, bacterial growth in the implanted site, and genetic factors [70,71].…”

Section: Discussionmentioning

confidence: 99%

Malignant Neoplasms Arising in the Cardiac Pacemaker Cavity: A Systematic Review

Moraes,

Dal Moro,

Pessoa

et al. 2023

Cancers

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Cancer is the abnormal proliferation of physiologically inadequate cells. Studies have identified the cardiac pacemaker pocket as a site of rare neoplasms. To evaluate the clinical outcomes, treatment, prognosis, and individualized management of tumors originating in the cardiac pacemaker pocket, a systematic review was conducted using case reports and case series available in the PubMed/Medline, Science Direct, Cochrane Central, LILACS, and Scientific Electronic Library Online (Scielo) databases. Pacemaker pocket tumors affected patients with a mean age of 72.9 years, with a higher incidence in males (76.9%, n = 10). The average time for neoplasm development was 4.4 years (54.07 months). The most prevalent model was Medtronic (38.4%, n = 5), with titanium (83.3%) being the most common metal composition. Chemotherapy was the most performed procedure among patients (38.4%), followed by radiation therapy (38.4%) and surgical tumor resection (30.7%). Six analyzed cases (46.1%) resulted in death, and four patients (30.7%) achieved a cure. Patients with pacemakers should be routinely evaluated for the occurrence of malignant tumors at the site of device implantation.

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“…With increasing incidence of BIA-ALCL, leading organizations, including the National Cancer Comprehensive Network and the Third World Consensus Conference, have appropriately raised awareness and provided guidelines for the diagnosis and treatment of BIA-ALCL in symptomatic patients. [19][20][21][22][23][24] However, the management for asymptomatic patients with textured devices remains unclear and is based primarily on expert opinions, such as those published by McGuire et al 14 Frojo et al recently conducted a study that surveyed The Aesthetic Society to investigate practice trends for management of asymptomatic cosmetic patients with textured implants, which demonstrated significant heterogeneity in nonoperative and operative management. 25 Similarly, our study evaluates current practice management trends, although focusing on the breast reconstruction population, who often have higher operative risk due to factors such as thin mastectomy flap coverage of implants, previous irradiation, and presence of ADM in the pocket.…”

Section: Takeawaysmentioning

confidence: 99%

Practice Trends in the Management of Asymptomatic Breast Reconstruction Patients with Textured Implants: A Survey Analysis

Roider

Nguyen

Ramkumar

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Despite the increasing prevalence of breast implant associated anaplastic large cell lymphoma, there remains a paucity of literature guiding management of asymptomatic patients with textured breast implants. This risk can be anxiety provoking in breast reconstruction patients given their history of cancer or increased future risk. The purpose of this study is to evaluate current practice trends when managing the concerned asymptomatic patient following textured implant-based breast reconstruction. Methods: An electronic survey was distributed to members of the American Society of Plastic Surgeons, regarding management of asymptomatic breast reconstruction patients with textured devices. Anonymous responses were collected, and statistical analysis was performed. Results: A total of 304 responses were received. Of respondents, 237 (92%) have managed asymptomatic patients with textured devices. Historically, the overwhelming majority (89%) used textured devices; however, only 25% report current use. Regarding management of asymptomatic breast reconstruction patients, 87% recommend conservative management, while 13% recommend surgical management. When surgery is performed, 16.3% of respondents elected for implant exchange, 33.8% recommended implant exchange with partial capsulectomy, and 49.8% elected for implant exchange with total capsulectomy. Evaluation of practice patterns based on demographics demonstrated statistically significant differences in current use of textured devices and management of acellular dermal matrix. Conclusions: Despite decreased current use, there is a significant population of asymptomatic breast reconstruction patients with a history of textured devices concerned for risk of breast implant associated anaplastic large cell lymphoma. This survey demonstrates ongoing variability in surgeon recommendations regarding conservative and surgical management of these patients and the need for continued development of evidence-based guidelines.

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Comprehensive Evaluation of the Current Knowledge on Breast Implant Associated-Anaplastic Large Cell Lymphoma

Cited by 7 publications

References 81 publications

Can a Breast Augmentation Procedure Improve the Appearance of Pectus Excavatum Deformity in Female Patients? A Prospective Study

Can a Breast Augmentation Procedure Improve the Appearance of Pectus Excavatum Deformity in Female Patients? A Prospective Study

Malignant Neoplasms Arising in the Cardiac Pacemaker Cavity: A Systematic Review

Practice Trends in the Management of Asymptomatic Breast Reconstruction Patients with Textured Implants: A Survey Analysis

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