Keywords
Prostheses and Implants,
Breast
Breast Neoplasms
How to Cite
Abstract
Background: Although popular and generally effective, breast implants present risks such as capsular contracture, rupture, infection, chronic pain and, in rare cases, anaplastic large cell lymphoma (BIA-ALCL). Factors such as chronic inflammation, bacterial contamination and genetic predisposition can contribute to its development.
Aim: To review the recent literature on BIA-ALCL. Method: This is an exploratory study based on the integrative literature review method with evidence synthesis. The database used to select the studies was PUBMED, using the following search strategy: (large[title] AND cell[title] AND anaplastic[title] AND lymphoma[title]) AND (breast[title] OR mamm*[title]) AND (impl*[title] OR prosth*[title]) AND (plastic*[title/abstract] OR reconstru*[title/abstract]). A time cut-off of five years was established for the selection of the revised sample.
Results: 18 papers were identified that met the search strategy, and no text was excluded after reading the titles and abstracts.
Conclusion: BIA-ALCL, although rare, represents a significant concern for patients undergoing breast reconstruction and the placement of aesthetic implants, especially silicone implants and especially textured implants. Early detection by methods such as aspiration cytology is crucial for a favorable prognosis, allowing complete surgical removal of the implant and capsule as a curative treatment.
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