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New guidelines for evaluation of rare tumor after breast augmentation

As part of a recently performed statements of the American Drug Administration (Food and Drug Administration [FDA]) , which is an extremely rare tumor, anaplastic large cell lymphoma (ALCL) in a possible link with could be breast enlargement, the American Society of Plastic Surgery (ASPS) new guidelines for evaluation of breast tumors, or swelling after breast enlargements published on its website. The article to be published in the June issue of the society's journal Plastic and Reconstructive Surgery appear.

The guidelines are relevant for specific additional diagnosis and management alternatives for the evaluation of a seroma after breast augmentation that could possibly be associated with ALCL, "writes Dr. John B. Tebbetts, a sculptor, who was involved in drafting the new guidelines.

Dr. Tebbetts presented in the guidelines to update the old guidelines for the diagnosis and management of seroma after breast augmentation . A seroma is encapsulated cavity filled with wound fluid and different can result types of operations. The update of the guidelines was necessary after two studies a strong accumulation of ALCL and other malignancies of the lymphatic system in women have found that previously had a breast enlargement performed with an implant. Based on these findings, the FDA has recently issued a warning that women , which can enlarge the breast with an implant, have a "very small but increased risk " for the development of ALCL .

The relationship of breast enlargement and ALCL for the surgeon is problematic because the symptoms of ALCL initially operated as a painful swelling in the breast may occur and differ so much from the symptoms of an ordinary seroma. Seromas are common complications after breast enlargements and absolutely no problem. Since the FDA warning both plastic surgeons and the patients for a meaningful process for evaluation and treatment of swelling or induration were searching for breast implants.

In developing the new guidelines, it was according to Dr. vorranging Tebbetts, "public awareness and vigilance for the possibility of an increase ALCL, if fluid retention six months or have to be clarified later in the context of a breast enlargement. "The guidelines consist of a set of alternatives that can be discussed with the patient in order and the aim is an ALCL exclude or confirm safe.

The guidelines therefore also help the patient to reduce their fears and an informed decision regarding diagnosis and treatment of any swelling to make. For each treatment option, from the needle biopsy to various forms of re-operation or even the expectant observation and the advantages and disadvantages and resulting risks are listed.

The guidelines are continuously brought up to date as new evidence on the relationship between ALCL and breast enlargement be known. The FDA has it joined forces with the ASPS, to create a common register in which all cases can be centrally collected and analyzed. Until the case and there is more light on the matter, says Dr. Tebbetts that the guidelines are an appropriate "interim summary of the alternatives" for the plastic surgeon or any other doctor who has to do with women, whose breasts enlarged were representing.

Source: swissestetix Blog