If you have textured breast implants, you could be at risk forbreast implant–associated anaplastic large cell lymphoma(BIA-ALCL). BIA-ALCL is a cancer of the immune system and is a type of non-Hodgkin’s lymphoma—it is not breast cancer. People who have breast implants with the most textured surface have the highest risk.
“目前还不清楚如何这些植入物导致BIA-ALCL,” saidMichel Saint-Cyr，MD，整形外科医生横幅MD Anderson Cancer Centerin Arizona. One theory is that the rough, sandpaper-like surface of textured breast implants might cause chronic inflammation that leads to BIA-ALCL.
Another theory is that the larger surface area of a textured implant traps more bacteria, creating what’s called a biofilm—a colony of microbes that stick to each other and to the implant’s surface. This biofilm might cause inflammation and lead to BIA-ALCL.
BIA-ALCL is usually found in the scar tissue and fluid near the implant, but in some cases, it can spread throughout the body.
谁面临BIA-ALCL的风险？
The risk of developing BIA-ALCL is low, but this cancer is serious and can lead to death, especially if it’s not treated quickly.
You’re at risk if you’ve had textured breast implants placed, either for breast reconstruction or for cosmetic breast enhancement, and your risk increases the longer you’ve had the implants in place. Most people with BIA-ALCL are diagnosed from 7.5 to 11 years after their implants are inserted.
Whether a breast implant is filled with saline or silicone doesn’t seem to affect your risk of developing BIA-ALCL, but there also is no data available from large, well-designed studies examining this risk, Dr. Saint-Cyr said.
Bia-Alcl有哪些症状？
Symptoms include breast swelling or redness not associated with an infection, breast pain, a lump in the breast or the area of the breast implant or spontaneous fluid collection in the breast pocket which can sometimes happen after routine imaging. “These symptoms may occur well after the surgical incision has healed, often years after the implant was placed,” Dr. Saint-Cyr said. Other, less common symptoms include enlarged lymph nodes, skin rash, fever and weight loss.
If you notice one or more of these symptoms, it does not mean you have BIA-ALCL. However, it is important you talk to your health care provider. Your doctor can order an超声要么MRIto see if fluid is collecting around the implant and can refer you to a specialist who diagnoses and treats BIA-ALCL. If there’s fluid or a lump present, it can be tested for BIA-ALCL.
Bia-Alcl如何治疗？
Treatment usually involves surgery to remove the implant and the scar tissue that surrounds it. “Even if one implant is affected, both implants should be removed,” Dr. Saint-Cyr said. Any suspicious masses or lymph nodes should be biopsied or removed as well. Some people also need chemotherapy, radiation therapy or stem cell transplant therapy.
“For people who receive appropriate, timely treatment, the prognosis is very good,” Dr. Saint-Cyr said. “Research shows 93% of patients are still无疾病治疗后三年。“
What if I have textured breast implants but I don’t have symptoms?
The FDA does not recommend removing textured breast implants or expanders if you have no symptoms. “The risk of developing BIA-ALCL is rare, but you should monitor your breasts with regular examinations,” Dr. Saint-Cyr said. Contact your doctor if you notice:
- Persistent breast swelling or a mass near the breast implant
- 乳房植入物附近的疼痛
- Any changes in the areas around the breast implant
The bottom line
Bia-Alcl是一种罕见但严重的癌症，可能会影响纹理乳房植入物的人。如果您注意到乳房的肿胀，疼痛或变化，并且您的纹理植入物，请与医疗保健提供者交谈。如果您需要，伸出横幅健康金宝搏2018世界杯118金宝搏抽水 .
Learn more about breast implants with these articles:
- Breast Implants & Mammograms: What You Should Know
- Health Risks of Breast Implants
- The Important Role Plastic Surgery Plays in Cancer Treatment & Recovery
