Does Anyone Know Anything About ALCL?

My dr is leaning to this waiting for pathology report. Had my implants for eight years not a problem now I had 160cc of fluid removed and two weeks later had to have 200 cc removed , where is this fluid coming from?

Doctor Answers 6

Fluid around implant must rule out ALCL

ALCL or Anaplastic Large Cell Lymphoma has been associated with breast implants but is though to be considered extremely rare.  More information on ALCL can be found at the FDA web site

Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

ALCL and breast implants

Hi Dawn, Thanks for your question. ALCL needs to be considered  for any unexplained, recurrent swelling following Breast Augmentation. This phenomenon  was first recognised only 3 years ago, so not much is known about it apart from it being very RARE. There have been less than 100 cases reported in the world.  What we do know is that the average time from implant to presentation is around 9 years. It has been described in association with both saline filled and silicone filled implants, and in reconstructive and aesthetic cases. Up until now it has only been seen with  textured not smooth implants. Generally it has responded very well to treatment   There are several theories as to why it is occurring, but the truth is that no one really knows. It could be an immune response to silicone or some other component of the implant or manufacturing process. Other theories relate to a response to a subclinical infection.  Your Doctor is absolutely doing the right thing testing for it given your history it certainly at the very least needs to be excluded as a cause.   Best wishes   Richard Bloom Plastic Surgeon  Chairman Board of Plastic Surgery Melbourne, Australia


In 2011 the FDA issued a warning about the risk of implants and a rare disease called ALCL. This is very low risk but given the unexplained swelling you are having it certainly should be ruled out. Please see the link below for more information. Hopefully you are being treated by a plastic surgeon familiar with these things, if not seek consultation with someone who is.

Anaplastic large cell lymphoma is very rare but has a good prognosis.

Anaplastic large cell lymphoma is extremely rare in women with breast implants and maybe related texturized implants. Adequate treatment appears to be removal of the capsule.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews


ALCL is short for anaplastic large cell lymphoma is a rare form of lymphoma that has been found in some women with breast implants. It is something that is being closely monitored by breast implant surgeons.  It will require removal of the breast implants and a capsulectomy or removal of the capsule.  You may require some radiotherapy or chemotherapy depending on the extent of the disease.  It has only recently been recognized and one also needs to remember that this tumour occurs in people who have not had implants.

Hope this helps

Stephen Salerno

Anaplastic large cell lymphoma

ALCL has recently been associated with breast implants, but the incidence  is the same in implant patients as it is in women without implants. When a patient presents with fluid formation around one implant, it must be considered, and the scar around the implant should be removed (capsulectomy).

Having said that, other things can cause fluid around an implant, but are usually traumatic. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.