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Risk of lymphoma in women with breast implants: analysis of clinical studies

Largent, Joana; Oefelein, Michaela; Kaplan, Hilton M.a; Okerson, Teda; Boyle, Peterb

European Journal of Cancer Prevention: May 2012 - Volume 21 - Issue 3 - p 274–280
doi: 10.1097/CEJ.0b013e328350b0ae
Research Papers: Hematological cancer

Large studies suggest that the overall rate of lymphoma in women with breast implants is no greater than in the general population; clinical reports suggest an association between breast implants and the rare non-Hodgkin lymphoma, anaplastic large cell lymphoma (ALCL). Observed cases of lymphoma reported in Allergan-sponsored breast implant clinical studies were compared with expected cases on the basis of the incidence of lymphoma among women in the National Cancer Institute’s Surveillance Epidemiology and End Results program, using standardized incidence ratios (SIRs) and 95% confidence intervals (CIs). In clinical studies, there were 28 observed cases of lymphoma among 89 382 patients and 204 682 person-years of follow-up compared with 43 expected cases [SIR: 28/43=0.65 (95% CI: 0.43–0.94), P=0.02]. SIRs were calculated stratifying by baseline cancer history: women without prior cancer [SIR: 17/24=0.70 (95% CI: 0.41–1.13), P=0.17] and women with prior cancer [SIR: 11/14=0.79 (95% CI: 0.39–1.41), P=0.52]. SIRs were calculated by implant shell type: textured shell implants [SIR: 16/23=0.70 (95% CI: 0.40–1.13), P=0.16] and smooth shell implants [SIR: 12/19=0.63 (95% CI: 0.33–1.10), P=0.12]. Surveillance Epidemiology and End Results reported 12 cases of primary breast ALCL in women between 1996 and 2007 without a history of cancer, for an average annual incidence of 4.28 (95% CI: 3.51–5.05)/100 million women in the US – these women may or may not have breast implants. In clinical studies, three ALCL cases were reported in women with breast implants and a history of breast cancer, yielding a crude incidence rate of 1.46 (95% CI: 0.30–4.3)/100 000 person-years. Large clinical studies, based on over 200 000 person-years of follow-up, suggest no evidence of an increased risk of lymphoma among women who have received breast implants.

aAllergan Inc., Irvine, California, USA

bInternational Prevention Research Institute, Lyon, France

All authors contributed equally to the writing of this article.

Clinical Trial Registration: 1. Safety and Effectiveness of Natrelle Cohesive Round Silicone Filled Breast Implants (NCT00689871). Available at; 2. Safety and Effectiveness of Style 410 Silicone-Filled Breast Implant Study (NCT00690339). Available at; 3. Adjunct Study of Natrelle Cohesive Round Silicone-Filled Breast Implants (NCT00691327). Available at; 4. Safety Evaluation in Subjects with Silicone-Breast and Saline-Breast Implants (BIFS) (NCT00443274). Available at

Correspondence to Peter Boyle, PhD, DSc, FRCP(Edin), FMedSci, International Prevention Research Institute, 95 Cours Lafayette, 69006 Lyon, France Tel: +33 472 171 180; fax: +33 (0)4 72 17 11 99; e-mail:

Received December 8, 2011

Accepted December 10, 2011

© 2012 Lippincott Williams & Wilkins, Inc.