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The past 3 days I have spent in the plastic surgery department and I have been fortunate to see quite a few surgeries, round with the doctors and work in out patient. Oh the 5th, I went into the hospital early to observe a surgery for a patient that got a breast augmentation 7 years ago. She was complaining about her right breast. It is protocol to test for a rare lymphoma because although there have only been around 40 cases, it is very severe. Biopsy was sent to lab in hospital as well as outside the hospital to be sure. Papageorgiou has never had a case. The head of the department performed operation. After any breast surgeries— they place a tube to drain any fluids.

More about the condition we’re testing for: Breast Implant-Associated Anaplastic Large Cell Lymphoma. BIA-ALCL is a rare type of T-cell lymphoma that can develop following breast implants. BIA-ALCL is not breast cancer. It is a cancer involving cells of the immune system. BIA-ALCL is generally found next to the implant itself and is usually contained within the fibrous capsule that the body forms around the implant. Most of the breast implant patients found to have BIA-ALCL were diagnosed after they sought medical treatment for implant-related symptoms such as pain, lumps, swelling, or asymmetry that developed after their initial surgical sites had fully healed. In most cases, the BIA-ALCL was treated with surgery to remove the implant and surrounding scar tissue. Some patients also received radiation therapy, chemotherapy or both. The risk of developing BIA-ALCL is low.


Surgery Time Table

10:29 second surgery of the day. Patient just went under. He was injected with a radioactive substance so that we could use a navigator to detect cancer cells.

11:04 main surgeon scrubbing in

11:06 begin using navigator to find cancer.

11:08 first cut

1:27 we had to take a huge chunk of his lip out due to a tumor. Now they have cut a flap of neighboring skin and will use it to help gill in the hole and preserve nerve endings.

2:00 continuing to stich open wounds on face.

Patient was in great condition one day post op. He is being fed through a tube but his lip looks normal considering yesterday we removed such a large chunk of skin.

 

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