Latest advances in squamous cell carcinoma associated with breast implants

Squamous cell carcinoma (SCC) is a rare type of cancer that can develop around breast implants. It is not exclusive to breast implants, as it occurs with materially different devices implanted in various anatomical regions of the body.

“SCC is a rare type of cancer that can develop around breast implants.”

The U.S. Food and Drug Administration(FDA) has documented 19 cases of SCC associated with breast implants worldwide. The median time to presentation of SCC is almost 23 years after implantation. While all cases of breast implant-associated anaplastic large cell lymphoma(BIA-ALCL) in which the type of implant was known had a textured surface, SCC has been observed regardless of material, filler, surface, or manufacturer.

“…the risk is very low, but patients should be aware of the symptoms.”

The risk of SCC is very low, but it is important that patients are aware of the symptoms and seek medical attention if they experience any changes in their breasts. Treatment consists of en bloc capsulotomy and complete removal of the tumor, which often extends beyond the capsule at the time of diagnosis. Chemotherapy and radiotherapy appear to be ineffective.

Data from manufacturers are missing.

FDA has been unable to obtain detailed SCC data from implant manufacturers. This makes it difficult to understand the risk factors for SCC and to compare risk between different manufacturers.

Some authors argue that implant manufacturers should be obliged to make all their SCC data public. This would help surgeons and patients make informed decisions about the risks and benefits of breast implants.

Comparative table of tumors associated with breast prostheses.

The American Society of Plastic Surgery (ASPS) has created a useful chart comparing breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and breast implant-associated squamous cell carcinoma (BIA-SCC). The table includes a reference list of all available published cases.

If you have any doubts, consult your plastic surgeon.

In conclusion, SCC is a rare but serious type of cancer that can develop around breast implants. It is important for patients to be aware of the symptoms and to seek medical attention if they experience any changes in their breasts. Implant manufacturers should be required to make public all their ECC data so that surgeons and patients can make informed decisions about the risks and benefits of breast implants.

Symptoms of SCC.

Symptoms of SCC may include:

  • Breast lump
  • Redness or swelling around the breast
  • Nipple discharge
  • Breast pain
  • Difficulty in breastfeeding

If you experience any of these symptoms, it is important to consult your plastic surgeon immediately.

Treatment of SCC.

Treatment of SCC depends on the size and location of the tumor. Treatment may include:

  • Surgery to remove the tumor
  • Chemotherapy
  • Radiotherapy

SCC prevention.

There is no sure way to prevent SCC, but there are some things patients can do to reduce their risk, including:

  • Choosing smooth breast implants over textured breast implants
  • No smoking
  • Maintaining a healthy weight
  • Regular breast examination
  • Seek medical attention immediately if you experience any changes in your breasts.

If you require more information or to evaluate your case, please contact us.