4.6 Review

Biological and genetic landscape of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)

Journal

EJSO
Volume 47, Issue 5, Pages 942-951

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.ejso.2020.10.029

Keywords

Breast implants; Anaplastic large cell lymphoma; Immune system; Bacterial biofilm; Chromosomal alterations; Genetic alterations

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Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare form of cancer that can develop around breast implants, with its cellular and molecular causes not being fully understood. There has been an increase in the number of women diagnosed with anaplastic large cell lymphoma with breast implants in recent years.
Breast implante-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon form of non-Hodgkin lymphoma (cancer of the immune system) that can develop around breast implants. Breast implants are among the most commonly used medical devices for cosmetic or reconstructive purposes. In the past few years, the number of women with breast implants diagnosed with anaplastic large cell lymphoma (ALCL) has increased, and several studies have suggested a direct association between breast implants and an increased risk of this disease. Although it has been hypothesized that chronic stimulation of the immune system caused by implant materials and biofilms as well as a possible genetic predisposition play an important role in this disease, the cellular and molecular causes of BIA-ALCL are not fully understood. This review aims to describe the current understanding around the environmental and molecular drivers of BIA-ALCL as well as the genetic and chromosomal abnormalities identified in this disease to date. (C) 2020 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

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