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In the United States, a serious medical problem appeared concerning silicone bad implants intended for women for after a mastectomy or for simple aesthetic functions : Many women have bad cancer diagnosed several months after undergoing surgery. The state of alarm generated is not for less: the American Society of Plastic Surgeons totals in 400,000 the number of surgeries performed in 2017, nearly 47% more since the beginning of the century.
"I woke up one day and saw that my chest was the size of a volleyball. In one day, it swelled a lot." These are the words of Michelle Forney a 46-year-old woman living in Sacramento. "Then I went to the doctor, I saw my gynecologist and she sent me to another specialist. They told me that I had a Mastitis, a sinus infection, so they prescribed me antibiotics for ten days, but they did not do anything, "says Forney at" NBC News. "
The biggest problem is that here, in the United States, there is no communication between the doctors on the follow-up of their patients
The doctors visited by Forney did not badociate the symptoms of lymphoma and the mammograms performed revealed no problem. Several other revisions were needed to prove it. Eventually, a plastic surgeon convinced her to allow removal of the implants. Then, took the surprise to find dozens of small tumors located around the implant.
Forney is one of many people suffering from this serious medical problem. The disease is called "anaplastic large cell lymphoma " (ALCL, for its acronym in English). The prestigious Food and Drug Administration (FDA) has reviewed over 400 reports of patients with this condition, including nine cases in which its protagonists had already died.
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Many studies have already put forward what the latter corroborated. The more one gains of centimeters on average, the more one is likely to contract this disease
From now on, the main concern of the American health professionals is to warn the population and to find the people who are. he implanted bad implants since there are records, in 2000. "One of the problems here in the United States is that patients consult different doctors at different sites. different times, and this is not communicated between them, as well as their medical records, "says Dr. Diana Zuckermann President of the National Center for Health Research, a non-profit organization based in Washington. "There is really no way of knowing when a woman with a bad implant could develop cancer," she says. That is to say that plastic surgeons responsible for the operation are not informed of oncologists to diagnose and treat ALCL.
One of the peculiarities of this disease is that it can develop or stay asleep until 10 years after the surgery to insert l & # 39; implant. In general, it stays in the area around the area but, according to the WHO researchers in Blood magazine, it could explode and spread. There does not seem to be any difference between the two types of implant, one that is filled with silicone or one that contains saline. It is possible that their texture creates a kind of abrasion in the tissues, which would provoke a reaction of the immune system, then a dysfunction. Another theory is that bacteria grow on the surface of the implant, causing persistent irritation that can lead to lymphoma.
"There may be many factors related to the development of LALCs, such as the medical history of patients, the type of surgical procedure the characteristics of bad implants," says the FDA in a statement. On the other hand, other specialists think that everything is due to textured implants. That's the case of Eric Swanson, a private cosmetic surgeon from Leawood, Kansas. "We know that the way to eliminate the problem is simply not to use them," he says.
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"Plastic surgeons should also do more to warn patients about the risks they take, because they trust them, "says Swanson." They need to be informed of any details that could put their health at risk. " Something with which Forney coincides with "We would like the FDA to oblige all hospitals to send letters to all persons wishing to have a bad implant implanted, informing them of the existence of LALC and of what they are doing. are exposed " he concludes.]
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