American Society of Plastic Surgeons
For Medical Professionals
 
Humphries
9 months ago
Answered

Do I need to be tested for BIA-ALCL?

In 1988 I had Surgitk Polyurethane textured silicone I had burning pain for 12 yrs. in 2003 I found out I had ruptured implants. Removed implants & scar tissue. Replaced with Allergan Bio texted saline implants. Lymph’s & Lymph’s Absolute high since 2014 painful left breast, burning pain in right at times,ultrasound found masses,distortion. In axillaRight 22x14x20mm Left 18x11x15 Do I need testin

Procedure: Breast Implant Revision
Type: Question

Replies 3

Daniel Allan
ASPS Surgeon

BIA-ALCL usually presents with painless swelling of the affected breast. The masses in your breasts are more likely due to escaped silicon and the body's reaction to it. Likewise, the enlarged lymph nodes probably have silicon in them. Removal of the masses and the involved lymph nodes with examination of the tissues by a pathologist should give you the answer.

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Debra Johnson
ASPS Surgeon
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Dr. Allen is correct that the most common symptom of BIA-ALCL is breast swelling. However, BIA-ALCL can present with a mass sometimes, so evaluating your breast concerns as soon as possible is important. Seek attention from a Board-certified ASPS member, using the Find-A-Surgeon tool on this website.

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Lori Cherup
ASPS Surgeon
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Yes, you need to see a board-certified plastic surgeon knowledgeable with these cases- I am- and be evaluated. No question.

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