Melbourne Plastic Surgery Blog

Melbourne Plastic Surgery Blog

Information regarding breast implant associated Anaplastic Large Cell Lymphoma

Thursday, June 28, 2018

Following renewed media interest regarding the correlation between breast implants and an increased risk of developing Non-Hodgkin’s Lymphoma Mr Mutimer thought the timing pertinent to outline key information related to BIA-ALCL.  

The following information has been sourced from the Australasian Society of Aesthetic Plastic Surgeon’s website and summarises what we know to date:

FACTS ASSOCIATED WITH BIA-ALCL

  1. It is a cancer of lymphatic cells and a form of Non-Hodgkin’s Lymphoma.
  2. It is not a breast cancer.
  3. It occurs in association with breast implants and to date exclusively with exposure to textured implants (i.e. No case has been reported with exposure to smooth implants alone).
  4. It occurs in women who have had implants for both cosmetic and reconstructive indications.
  5. It takes an average of 7-10 years after implant insertion before it develops.
  6. The commonest presentation is a fluid swelling around the breast implant and in the space between the implant and breast implant capsule – late seroma. The diagnosis of the condition is made by examination of the seroma fluid.
  7. Early stage disease is curative with surgery alone.
  8. Disease which has spread through the capsule, forming a mass or which has spread to local lymph glands carries a worse prognosis.

RISK 

The most accurate assessment of risk published to date is from a detailed study of numerator and denominator in Australia and New Zealand. This showed that the risk for implants with high surface area texture (biocell, Alllergan and polyurethane, Silimed) were around 10 times higher (1 in 4,000 to 1 in 7,000) compared with implants with lower surface area texture (1 in 60000 for siltex Mentor). The risk was calculated only for companies that complied with a request for provision of sales data.

We did see ALCL arising from other implant manufacturers, but were not able to calculate risk due to their refusal to supply data for analysis.

The study also identified clusters of multiple cases arising from the same practice. These clusters are currently under investigation, with the consent of the centre and/or surgeon, and there is insufficient evidence presently

to comment as to likely causative factors.


CAUSATION

Recent media stories suggested that there is a link with cut-price providers. No such link that has been established to date by analysis of the evidence.

A unifying theory was proposed by the ANZ epidemiology paper and has become widely accepted worldwide as the best explanation for factors that cause BIA-ALCL.

The unifying theory cites four inter-related factors:

  1. Textured implants (with a higher risk for high surface area textures)
  2. Bacterial contamination at the time of surgery to reach a threshold to cause inflammation
  3. Patient genetic predisposition
  4. Time - for the process to develop.
Bacteria have been identified in association with these tumours, similar to the association between gastric lymphoma and Helicobacter pylori.

I'VE HAD BREAST IMPLANTS OR AM CONSIDERING SURGERY - WHAT SHOULD I DO NEXT? 

If you currently have breast implants and are concerned you should consult with a Specialist Plastic Surgeon who will determine what type of implants you have and address your concerns.

Similarly if you are considering breast implant surgery it is important to schedule a consultation with a Specialist Plastic Surgeon to discuss the risks and benefits, including the risk of BIA-ALCL. There are different types of implants available and selection needs to take into account the risks and benefits of specific choices.

For more information or to book a Consultation with Mr Keith Mutimer – Specialist Plastic Surgeon phone 03 9592 0522 or submit a confidential enquiry via our website.

 

Breast Implant Study

Tuesday, November 11, 2014

On 11/11/14 The Herald Sun Newspaper reported on a recent breast implant study - linking breast implants to breast cancer.  

 The Australian Society of Plastic Surgeons have issued the following media release in response to this study:


 


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We thank you for your understanding and patience as we navigate these challenging times.

Please follow us on Facebook to stay abreast of any new developments as we’ll post timely updates there, and on our website. As always if you have any questions or concerns please call the practice on 03 9592 0522.

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Our practice continues to operate at this time however many changes are in place. Additional measures have been implemented to protect our patients and staff at this uncertain time. Some of these include:

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If you are unwell you will not be able to attend the practice for your appointment. Please phone us and we will guide you in regard to your ongoing care.

If you have an upcoming appointment our staff will contact you to discuss how this will be managed for you.

We thank you for your understanding and patience as we navigate these challenging times.

Please follow us on Facebook to stay abreast of any new developments as we’ll post timely updates there, and on our website. As always if you have any questions or concerns please call the practice on 03 9592 0522.

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Coronavirus (COVID-19) is understandably causing a lot of concern and social disruption in both our local community and worldwide. We are following Health Department Guidelines and have measures in place with the aim of keeping our valued patients and staff as safe as possible.

Brighton Plastic Surgery would like to reassure all our patients that we are currently open and seeing patients. There is no need to cancel your appointment unless you have travelled overseas in the last 14 days or are currently unwell with COVID-19 compatible symptoms. If this is the case, please call 03 9592 0522 and we will reschedule your appointment. 

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