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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2023; 83(06): 686-693
DOI: 10.1055/a-2073-9534
DOI: 10.1055/a-2073-9534
GebFra Science
Review
Breast Implant-Associated Tumors
Article in several languages: English | deutsch
Abstract
In addition to anaplastic large T-cell lymphomas (BIA-ALCL), other implant-related tumors have been described for some years. Squamous cell carcinoma (SSC) and B-cell lymphomas occurred in very rare cases. The unexplained pathogenesis as well as the unclear individual risk profile is an ongoing source of uncertainty for patients and physicians. The pathogenesis of the tumors is still largely not understood. While BIA-ALCL occurs more frequently with textured breast implants, other tumors were also observed with smooth implants and at other implant sites. Multiple potential mechanisms are discussed. It is suspected that the etiology of a chronic inflammatory response and subsequently immunostimulation is multifactorial and appears to play a key role in the malignant transformation. Since there are currently no sufficiently valid data for a specific risk assessment, this must be done with caution. This article presents the incidence, pathogenesis, as well as the level of evidence according to the current state of knowledge, and evaluates and discusses the current literature.
Keywords
breast implant - lymphoma - BIA-SCC - immunostimulation - textured implants - squamous cell carcinoma - implant-associated tumors - BIA-ALCLPublication History
Received: 06 February 2023
Accepted after revision: 13 April 2023
Article published online:
06 June 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
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