Invited Discussion on: “What is the Evidence of Lymphoma in Patients with Prostheses Other Than Breast Implants?”

Textured Implant-Associated Anaplastic Large-Cell Lymphoma

“…First, this change would clarify the link to implants with a textured surface. Second, by omitting the word “breast,” the public would understand that this disease has occasionally occurred in regions other than the breast and in association with other types of textured devices, such as a textured gluteal implant, 37 orthopedic hardware, dental implants, and bariatric surgery devices 38 . Indeed, “rough” and “textured” are both adjectives referring to the nonsmooth surface characteristic of breast implants implicated in BIA-ALCL.…”

From Breast Implant to Rough Implant Associated–Anaplastic Large Cell Lymphoma (RIA-ALCL)

“…This includes the gluteal region from textured gluteal implants, pacemakers, orthopedic implants for tibial and shoulder repair, dental implants, chest ports, and even bariatric surgery devices. 4 Some patients have developed a misplaced fear of all breast implants, but to date no BIA-ALCL case has been published or officially registered with a clear history of only smooth implants; therefore it can be considered as a pathology connected to textured implant surfaces only. Additionally, the Scientific Committee on Health, Environmental and Emerging Risks (Brussels, Belgium) recently expressed their final opinion on the safety of breast implants in relation to ALCL and concluded the existence of a causal relationship between textured breast implants and BIA-ALCL, indicating the texturization as the risk factor.…”