Journal of Yeungnam Medical Science

Review articles

Surgery
Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL): Jun-Ho Lee; Yeungnam Univ J Med. 2021;38(3):175-182. Published online January 19, 2021; DOI: https://doi.org/10.12701/yujm.2020.00801

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Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare T-cell non-Hodgkin lymphoma characterized as CD30 positive and anaplastic lymphoma kinase (ALK) negative. In 2016, the World Health Organization declared BIA-ALCL as a new disease entity. The first case of BIA-ALCL was reported in 1997, and as of July 2019, the United States Food and Drug Administration had cited a total of 573 United States and global medical device reports of BIA-ALCL, including 33 deaths. In all clinical case reports, except for those with unknown clinical history, the patient had received at least one textured surface breast implant. Although the etiology is not yet clear, chronic inflammation has been proposed as a potential precursor to tumorigenesis. The most common presentation of BIA-ALCL is peri-implant fluid collection following aesthetic or reconstructive implantation with textured surface breast implants. It can be accompanied by breast swelling, asymmetry, pain, skin lesions, lymphadenopathy, and B-type symptoms. Most cases are detected on average 7 to 10 years after implantation. Diagnostic specimens can be obtained with fine-needle aspiration or biopsy. BIA-ALCL is CD30 positive, epithelial membrane antigen positive, and ALK negative. It can be cured with complete surgical excision at the T1–T3 stage.

Citations

Citations to this article as recorded by

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Smooth vs Textured Expanders: Patient Factors and Anatomic Plane Are Greater Factors in Determining First-Stage Breast Reconstruction Outcomes
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Complication Profiles of Smooth vs Textured Tissue Expanders in Breast Reconstruction: A Systematic Review and Meta-Analysis
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Breast Implant-Associated Anaplastic Large Cell Lymphoma: Where Hematology and Plastic Surgery Meet
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Linfoma anaplásico de grandes células T associado ao uso de implantes (BIA-ALCL): relato de caso
ANTÔNIO DE PÁDUA PEPPE NETO, ANDRE LUIZ MONTEIRO DOS SANTOS MARINS, MARIA JÚLIA FRITZEN DAGOSTIN, MARIA JÚLIA CARDOSO FABRIS, BÁRBARA RODRIGUES DE SOUSA STAHL, MARCUS VINÍCIUS MOURÃO MAFRA
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The Polyvalent Role of CD30 for Cancer Diagnosis and Treatment
Adrian Vasile Dumitru, Dana Antonia Țăpoi, Georgian Halcu, Octavian Munteanu, David-Ioan Dumitrascu, Mihail Constantin Ceaușu, Ancuța-Augustina Gheorghișan-Gălățeanu
Cells.2023; 12(13): 1783. CrossRef
Practice Trends in the Management of Asymptomatic Breast Reconstruction Patients with Textured Implants: A Survey Analysis
Laura A. Roider, David C. Nguyen, Shreya Pusapadi Ramkumar, Cody V. Tyson, Herluf G. Lund, Christina M. Plikaitis
Plastic and Reconstructive Surgery - Global Open.2023; 11(7): e5139. CrossRef
Place and objectives of ultrasound examination of the mammary glands after augmentation mammoplasty with silicone endoprostheses in the instrumental algorithm of patients with suspected BIA-ALCL (literature review)
E. P. Fisenko
Medical Visualization.2023; 27(4): 68. CrossRef
Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
Paolo Montemurro, Patrick Mallucci, Maurizio B. Nava, Per Hedén, William P. Adams, Johannes M. Wagner
Plastic and Reconstructive Surgery - Global Open.2023; 11(9): e5294. CrossRef
Implantes mamarios en tiempos de linfoma y COVID-19. ¿Han aumentado las complicaciones?
Estela Vélez-Benítez, Jesús Cuenca-Pardo, Bertha Torres-Gómez, Arturo Ramírez-Montañana, Raúl Alfonso Vallarta-Rodríguez, Rufino Iribarren-Moreno, Guillermo Ramos-Gallardo, Martín de la Cruz Lira-Álvarez
Cirugía Plástica.2023; 33(3): 100. CrossRef
Comprehensive Evaluation of the Current Knowledge on Breast Implant Associated-Anaplastic Large Cell Lymphoma
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Plastic and Reconstructive surgery
Prepectoral breast reconstruction: Sung-Eun Kim; Yeungnam Univ J Med. 2019;36(3):201-207. Published online August 26, 2019; DOI: https://doi.org/10.12701/yujm.2019.00283

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Abstract PDF

Implant-based breast reconstruction is the most commonly used reconstruction technique after mastectomy. This is because skin-sparing mastectomy has become possible with advancements in oncology. In addition, the development of breast implants and the advent of acellular dermal matrices have reduced postoperative complications and resulted in superior cosmetic results. The most frequently performed surgical breast reconstruction procedure for the past 20 years was the insertion of an implant under the pectoralis major muscle by means of the dual plane approach. However, some patients suffered from pain and animation deformity caused by muscle manipulation. Recently, a prepectoral approach has been used to solve the above problems in select patients, and the results are similar to subpectoral results. However, this technique is not always chosen due to the number of considerations for successful surgery. In this article, we will discuss the emergence of prepectoral breast reconstruction, indications and contraindications, surgical procedures, and outcomes.

Citations

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