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Volume 1, Issue 1 J Nurs Res Pract Nursing Care & Breast Congress 2017
December 11-13, 2017
December 11-13, 2017 | Rome, Italy
Joint Event
&
45th WORLD CONGRESS ON NURSING CARE
8TH EUROPEAN BREAST CONGRESS
Breast implant associated – Anaplastic Large Cell Lymphoma
Marianne Mertens
University of Antwerp, Belgium
Novel technique for the sampling of breast implant–associated seroma. Using a blunt-tip lipofilling cannula, we have the
freedom of movement to sample all fluid collections and prevent the misfortunes of damaging the implant. Also, we
have demonstrated the inability of the Coleman style I lipofilling cannula to perforate a silicone breast implant. This practical
and reliable technique will prove to be useful in managing the breast implant–associated seroma, especially with the rising
incidence of the anaplastic large cell lymphoma, where the sampling of seroma is mandatory. Concern has been raised regarding
the incidence of the breast implant–associated anaplastic large cell lymphoma (ALCL) over the last years.1,2 Presentation is
infrequent, and symptoms can vary; however, a chronic or unexplained seroma occurring more than 1 year after implantation
of a textured breast implant should be considered as highly suspect for ALCL. In accordance with the structured expert
consultation process,3 seroma fluid needs to be sent for culture, cytology, flow cytometry, and cell bloc. Immunohistochemical
analysis by means of a positive CD30 and a negative anaplastic lymphoma kinase-1 staining is considered diagnostic for ALCL.
Seroma fluid sampling is commonly performed by ultrasound-guided needle aspiration. The fluid associated with ALCL tends
to be cloudy and debris filled; therefore, large-caliber needles are required for adequate sampling. Radiologists are at risk of
perforating the underlying breast implant.
Biography
Marianne Mertens completed her studies at UA – University of Antwerp Belgium.She is head of Department Plastic, Reconstructive and Aesthetic surgery. She
gives training and teaching for residents in plastic surgery. She is member of the executive committee of RBSP and MWAB , member of ASPS .
Marianne Mertens, J Nurs Res Pract 2017, 1:1(Suppl)