• Piotr Pluta, Agnieszka Giza, Małgorzata Kolenda, Wojciech Fendler, Marcin Braun, Cezary Chudobiński, Justyna Chałubińska-Fendler, Michał Araszkiewicz, Karolina Loga, Lubomir Lembas, Magdalena Witkowska, Agnieszka Pluta, Jerzy Kolasiński, Paweł Basta, Agnieszka Kołacińska-Voytkuv, Sławomir Cieśla, Dorota Jesionek-Kupnicka, Jerzy Jankau, Maciej Kuczyński, Ewa Kalinka, Marek Zadrożny, and Dawid Murawa.
• Department of Surgical Oncology and Breast Diseases, Polish Mother's Memorial Hospital - Research Institute, Lodz, Poland.
• Arch Med Sci. 2023 Jan 1; 19 (5): 124312511243-1251.

IntroductionAlthough breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is infrequent, with less than 1000 noted cases worldwide, patients consenting for breast implant surgery should be aware of its risk. We describe the first Polish multicenter case-series data on BIA-ALCL patients and present diagnostic and treatment recommendation for breast surgeons.Material And MethodsIn cooperation with the Polish Society of Surgical Oncology and Polish Lymphoma Research Group, we collected BIA-ALCL cases in Poland.ResultsWe retrospectively reviewed clinical data of seven BIA-ALCL patients, diagnosed between July 2013 and November 2019. The median time from implant placement to the first BIA-ALCL symptoms was 65 months (range: 33-96 months). All the patients were exposed to textured implants at presentation. Capsulectomy with implant removal was performed in all the patients with immediate reimplantation in 2 cases. In a median follow-up of 19 months (range 5-81 months), there was no recurrence and all the patients stayed alive. Between 2013 and 2019, the incidence of BIA-ALCL in Polish female population age 30 and above ranged from 0 to 0.021/100 000/year.ConclusionsBIA-ALCL is scarce in the Polish population. In a short-term follow-up, patients' prognosis remains excellent. Due to the withdrawal of roughly textured implants from the market and the exclusion of likely the most potent etiologic factor, it might be expected that the incidence of BIA-ALCL will become even rarer.Copyright: © 2020 Termedia & Banach.

5 keywords...

hide…