Abstract
Introduction
Medical devices such as hip, knee, breast, vascular prostheses, among others, are very useful in different pathologies. We cannot doubt that their use is a great tool, besides being an advance in medicine; they provide a change in the quality of life of many patients; however, they are not exempt from adverse reactions and events.
Methods
We conduct a systematic review about lymphoma in the presences of prostheses other than breast implants.
Results
We selected 21 publications with a total of 24 patients. The largest number of prostheses was related to long bones in a total of 13 prostheses. The most frequent symptoms were: pain (52%), inflammation (24%), visible or palpable mass 20%. The most frequent type of lymphoma was non-Hodgkin B cell lymphoma in 14 cases.
Discussion
The presence of microparticles make biological degradation and wear of the implants, with macrophage and lymphocyte activation and the consequent production of proinflammatory cytokines such as tumor necrosis factor α, interleukin-1β, interleukin-6, and prostaglandin 2 (PGE2).
Conclusion
Lymphoma is not a common disease in patients with prostheses, and more data are needed to identify risk factors and make proper diagnoses.
Level of Evidence III
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This study was reviewed and considered exempt by the safety committee of the Mexican Association of Plastic, Aesthetic and Reconstructive Surgery (Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, AMCPER). This is a systematic review study and does not feature the direct participation of patients, so there is no risk to patients, and the confidentiality of the patients and surgeons was maintained.
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Ramos-Gallardo, G., Carballo-Zarate, A.A., Cuenca-Pardo, J. et al. What is the Evidence of Lymphoma in Patients with Prostheses Other Than Breast Implants?. Aesth Plast Surg 44, 286–294 (2020). https://doi.org/10.1007/s00266-019-01569-1
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DOI: https://doi.org/10.1007/s00266-019-01569-1