与乳房植入物相关的形大细胞淋巴瘤的发生率
Lauren S Lowe1, Dylan K Kim1, Christine H Rohde1,2
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Journal of the National Cancer Institute
|January 22, 2026
概括
乳房植入物相关的性大细胞淋巴瘤 (BIA-ALCL) 发病率在美国迅速增加. 最近的数据显示,BIA-ALCL诊断显著增加,超过了之前的估计.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 医疗器械 医疗器械
背景情况:
- 美国食品和药物管理局 (FDA) 授权在2020年对乳腺植入物发出黑子警告,原因是与性大细胞淋巴瘤 (ALCL) 有关.
- 世界卫生组织已将乳房植入物相关ALCL (BIA-ALCL) 视为一个独立的临时实体.
研究的目的:
- 估计在美国新诊断码引入后,美国成年女性的BIA-ALCL基于人口的发病率.
- 将当前的BIA-ALCL发病率与历史数据和之前的估计进行比较.
主要方法:
- 利用了国家癌症研究所的监测,流行病学和最终结果 (SEER) 计划数据,从2021年1月1日至2022年12月31日.
- 在使用新实施的诊断码的成年女性中诊断出BIA-ALCL确诊病例.
- 使用2000年美国标准人口计算每1亿人/年的年龄调整发病率.
主要成果:
- 根据年龄调整的BIA-ALCL发病率在2021年为每1亿人/年17.2%,在2022年为26.9%.
- 这些比率与2012-2018年估计 (14.5-19.6) 相比增加,并且大大超过2001-2007年的估计 (3).
- 这项研究表明,美国BIA-ALCL发病率迅速增加.
结论:
- 这项研究提供了第一个基于人口的BIA-ALCL发病率估计.
- 这些发现表明,在美国,BIA-ALCL病例令人担忧且迅速增加.
- 持续的监测和研究对于了解和减轻与乳腺植入物相关的风险至关重要.
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