Cost of updating breast implants

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Consumers and health professionals are advised that since the statement below was published, the TGA has confirmed more cases of anaplastic large cell lymphoma (ALCL) in Australian patients, with a total of 56 cases reported to date.The Medical Journal of Australia last month published an article discussing anaplastic large cell lymphoma (ALCL) in the context of the Australian Breast Device Registry and advocating strategies to strengthen the registry.Both the capsule and fluid should be sent for pathology.Consumers and health professionals are encouraged to report problems with medical devices.

The expert advisory panel included representation from plastic surgeons, cosmetic surgeons, breast-cancer surgeons, cancer epidemiologists, data analysts and public-health practitioners.

The TGA published safety communications regarding this issue on 27 January 2011 and 27 September 2016.

Since our last safety communication, the TGA has been provided with additional data and is advising that 46 cases of breast implant-associated ALCL have now been confirmed in Australia, including three that resulted in death. Most cases of breast implant-associated ALCL are cured by removal of the implant and the capsule surrounding the implant, however a small number are more aggressive.

Fine needle aspiration ( /- or core biopsy) of an effusion (mass) is performed and the aspirate (tissue) sent, for cytology (histology) and flow cytometry /- molecular studies, for confirmation of the diagnosis of breast implant-associated ALCL. There does not appear to be a role for mammography.

The management of this condition is multidisciplinary and all patients require a referral to a surgeon experienced with breast implants and the involvement of a haematologist who specialises in lymphoma, for initial and ongoing investigations and management.

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