Breast Implant-Associated - Anaplastic Large Cell Lymphoma (BIA-ALCL)
The FDA reports that Textured Surface Breast implants, unique to Allergan’s implants, are tied to 481 cases of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a type of non-Hodgkin’s lymphoma.
There have been 573 cases of BIA-ALCL worldwide, including 33 deaths. In 13 cases where a patient died and the manufacturer of the breast implant was known, 12 of them involved an Allergan breast implant.
Most cases of this particular cancer, which attacks the immune system, are not diagnosed for years after the original implantation.
The risk of getting BIA-ALCL from an Allergan textured implant is 6 times the risk compared to similar products from other manufacturers. Textured implants represent 10% of all breast implants sold in the United States.
Allergan is taking this action as a precaution following notification of recently updated global safety information concerning the uncommon incidence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) provided by the U.S. Food and Drug Administration (FDA).
Receiving the diagnosis of BIA-ALCL may cause anxiety and fear. Patients should know that not all cancers are equal. When caught early, BIA-ALCL is curable in most patients.
BIA-ALCL is a rare type of Lymphoma that can develop in the scar tissue surrounding breast implants.
BIA-ALCL occurs most frequently in patients who have breast implants with textured surfaces. This is a cancer of the immune system, not a type of breast cancer. The current lifetime risk of BIA-ALCL is estimated to be 1:1,000 - 1:30,000 for women with textured implants.
Textured breast implants have a rough surface that is sometimes compared to sandpaper. Unlike smooth-surfaced implants, their surface adheres to the tissue that surrounds them, preventing them from moving around within the implant pocket created by the surgeon. This is especially beneficial for implants that are not round but tear-drop shaped, because movement or rotation of these implants would cause the patient’s chest to appear misshapen.
Common symptoms include:
*For any patient experiencing these or any symptoms, they should see their doctor for evaluation. BIA-ALCL has been found with both silicone and saline implants and both breast cancer reconstruction and cosmetic patients. BIA-ALCL appears to involve patients who have an allergic reaction or infection to textured devices over many years.
The U.S. Food and Drug Administration (FDA) recommend that all confirmed cases be reported to the PROFILE registry. The PROFILE registry is a joint effort of the FDA and ASPS/PSF. If you have been diagnosed with BIA-ALCL, please ensure your physician has reported the case to the PROFILE registry for tracking of cases. Information reported to PROFILE is updated with the FDA on a monthly basis.
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