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Cited by 373

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Breast Implant–Associated Anaplastic Large Cell Lymphoma in Australia and New Zealand: High-Surface-Area Textured Implants Are Associated with Increased Risk

Open access
Loch-Wilkinson, Anna, Beath, Kenneth J., Knight, Robert John William, Wessels, William Louis Fick, Magnusson, Mark, Papadopoulos, Tim, Connell, Tony, Lofts, Julian, Locke, Michelle, Hopper, Ingrid, Cooter, Rodney, Vickery, Karen, Joshi, Preeti Avinash, Prince, H. Miles, Deva, Anand K.·2017·Plastic & Reconstructive Surgery

Abstract

Background: The association between breast implants and breast implant–associated anaplastic large cell lymphoma (ALCL) has been confirmed. Implant-related risk has been difficult to estimate to date due to incomplete datasets. Methods: All cases in Australia and New Zealand were identified and analyzed. Textured implants reported in this group were subjected to surface area analysis. Sales data from three leading breast implant manufacturers (i.e., Mentor, Allergan, and Silimed) dating back to 1999 were secured to estimate implant-specific risk. Results: Fifty-five cases of breast implant–associated ALCL were diagnosed in Australia and New Zealand between 2007 and 2016. The mean age of patients was 47.1 years and the mean time of implant exposure was 7.46 years. There were four deaths in the series related to mass and/or metastatic presentation. All patients were exposed to textured implants. Surface area analysis confirmed that higher surface area was associated with 64 of the 75 implants used (85.3 percent). Biocell salt loss textured (Allergan, Inamed, and McGhan) implants accounted for 58.7 percent of the implants used in this series. Comparative analysis showed the risk of developing breast implant–associated ALCL to be 14.11 times higher with Biocell textured implants and 10.84 higher with polyurethane (Silimed) textured implants compared with Siltex textured implants. Conclusions: This study has calculated implant-specific risk of breast implant–associated ALCL. Higher-surface-area textured implants have been shown to significantly increase the risk of breast implant–associated ALCL in Australia and New Zealand. The authors present a unifying hypothesis to explain these observations.

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Metadata

Authors
Loch-Wilkinson, A., Beath, K. J., Knight, R. J. W., Wessels, W. L. F., Magnusson, M., Papadopoulos, T., Connell, T., Lofts, J., Locke, M., Hopper, I., Cooter, R., Vickery, K., Joshi, P. A., Prince, H. M., & Deva, A. K.
Venue
Plastic & Reconstructive Surgery
Published
2017-10
Volume
140
Issue
4
Pages
645-654
ISSN
0032-1052 (ISSN-L)
OpenAlex
W2611807820
Cited by
373
References
11
FWCI
53.31
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Breast Implant–Associated Anaplastic Large Cell Lymphoma in Australia and New Zealand: High-Surface-Area Textured Implants Are Associated with Increased Risk. https://app.cochat.ai/papers/10.1097/prs.0000000000003654
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Loch-Wilkinson, A., Beath, K. J., Knight, R. J. W., Wessels, W. L. F., Magnusson, M., Papadopoulos, T., Connell, T., Lofts, J., Locke, M., Hopper, I., Cooter, R., Vickery, K., Joshi, P. A., Prince, H. M., & Deva, A. K. (2017). Breast Implant–Associated Anaplastic Large Cell Lymphoma in Australia and New Zealand: High-Surface-Area Textured Implants Are Associated with Increased Risk. Plastic & Reconstructive Surgery. https://doi.org/10.1097/prs.0000000000003654

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.