FDA Has Updated Its Understanding of Breast Implant-Associated Cancer
By Tara L. Huston, MD, of the Stony Brook Plastic and Reconstructive Surgery Division
This week the FDA released a statement regarding an incredibly rare type of cancer associated with breast implants known as anaplastic large cell lymphoma (ALCL). The big question women with implants are asking is, "Do I need to worry?"
The possible association between breast implants and ALCL has been known since 2011. There are approximately 300 reported cases in the world literature. To put this in perspective, in just the United States, it is estimated that over 5 million women currently have breast implants.
ALCL is almost always associated with textured implants and very rarely with the smooth. It has been found in patients who have had reconstruction as well as those who underwent cosmetic augmentation. It is not a breast cancer, but a rare malignancy in the immune system. It is possibly related to a low-grade infection around the implant.
If your breast implants are not bothering you, no action needs to be taken now.
The treatment is removal of the breast implant — a complete capsulectomy. This tissue and any fluid in the breast are then examined for the presence of the CD30 marker. In very rare instances, chemotherapy and radiation have been required. Implant-related ALCL seems to be less aggressive than ALCL from other causes.
If you are living with your implants and they are not bothering you, no action needs to be taken. If you have breast implants and symptoms such as pain, lumps, asymmetry, change in breast shape, or swelling, especially many years after your surgery, contact your physician.
To return to the question above, the answer is NO! You need not worry. It is important to be armed with good information, know what to look for, and be aware of your health. If you have questions, reach out to a board-certified plastic surgeon for further guidance.
| "Before getting breast implants, make sure to talk to your healthcare provider about the benefits and risks of textured-surface vs. smooth-surfaced implants. If you already have breast implants, there is no need to change your routine medical care and follow-up." — Food and Drug Administration (March 21, 2017) |
about ALCL from the American Society of Plastic Surgeons. Please call 631-444-4666 for an appointment to discuss questions with Dr. Huston and our other plastic surgeons.
