Breast Implants – What is BIA-ALCL?

Do You Have Breast Implants?
Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare sub-type of T-cell non-Hodgkin lymphoma (NHL)that has been found in association with breast implants in a small number of cases world-wide, with 22 confirmed confirmed cases in Canada.

Causes and Theories
The cause is unknown as of now, but it can be treatable with complete removal of the capsule and implant if caught early enough.

One of the most plausible current theories on causation of BIA-ALCL is that it is related to the biofilm. A biofilm is where bacteria are attached to an implant surface and surrounded by a protective layer of glycoprotein. They are difficult to treat, but there is no substantial evidence this is in-fact the cause.

Data regarding the frequency of occurrence of BIA-ALCL has been changing as more research is being done.

Textured implants have been shown to significantly increase risk of BIA-ALCL, the implant fill (saline or silicone ) does not appear to be associated with BIA-ALCL.

Two Common symptoms
1. Swollen breast caused by the formation of a delayed (>1 year since implant placement,)
2. Unilateral idiopathic seroma occurring between the implant surface and the capsule.

Important Note About Our Patients
For any patients of Dr. K Murray and Dr. G B Singh, at both Plastic Surgery Associates and Western Surgery Centre, please be reassured that we have used very few textured implants over the years, and your risk is minimal.

If you have any questions about breast implants, whether for augmentation or reconstruction, please make an appointment to discuss your particular situation.

We are happy to discuss this issue with any patient who has questions or concerns regarding their implants.