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Breast Implant-Associated Tumors.

Uwe von Fritschen1, Thomas Kremer2, Lukas Prantl3

  • 1Department of Plastic- and Aesthetic Surgery, Helios Klinik Emil von Behring, Berlin, Germany.

Geburtshilfe Und Frauenheilkunde
|August 24, 2023
PubMed
Summary
This summary is machine-generated.

Breast implant-associated tumors, including breast implant-associated anaplastic large T-cell lymphoma (BIA-ALCL), have unclear causes. Research is needed to understand the pathogenesis and individual risk profiles for these rare conditions.

Keywords:
BIA-ALCLBIA-SCCbreast implantimmunostimulationimplant-associated tumorslymphomasquamous cell carcinomatextured implants

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Area of Science:

  • Oncology
  • Pathology
  • Biomedical Engineering

Background:

  • Several types of tumors, including squamous cell carcinoma (SSC) and B-cell lymphomas, have been associated with breast implants.
  • Breast implant-associated anaplastic large T-cell lymphoma (BIA-ALCL) is more common with textured implants, but other tumors occur with both smooth and textured implants.
  • The pathogenesis of these implant-related tumors remains largely unknown, creating uncertainty for patients and clinicians.

Purpose of the Study:

  • To review the incidence and pathogenesis of implant-related tumors.
  • To evaluate the current literature and level of evidence regarding these rare malignancies.
  • To discuss potential mechanisms and risk factors associated with tumor development.

Main Methods:

  • Literature review of current scientific publications.
  • Analysis of reported cases and suspected etiological factors.
  • Evaluation of the level of evidence for current knowledge.

Main Results:

  • BIA-ALCL is more frequently associated with textured breast implants.
  • Other tumors like SSC and B-cell lymphomas are rare but have been observed with both smooth and textured implants.
  • A chronic inflammatory response and immunostimulation are suspected as key factors in malignant transformation.

Conclusions:

  • The pathogenesis of implant-related tumors is multifactorial and not fully understood.
  • Current data are insufficient for precise individual risk assessment, necessitating cautious evaluation.
  • Further research is required to elucidate the mechanisms and improve risk stratification for patients with breast implants.