{"id":528,"slug":"보형물-림프종-bia-alcl-때문에-보형물을-미리-빼야-하나요","question":"보형물 림프종(BIA-ALCL) 때문에 보형물을 미리 빼야 하나요?","intent":"informational","language":"ko","url":"https://worldwiki.io/q/보형물-림프종-bia-alcl-때문에-보형물을-미리-빼야-하나요","entity":{"slug":"breast-implant","name":"Breast Implant","url":"https://worldwiki.io/entity/breast-implant"},"answer":{"short_answer":"FDA는 증상이 없다면 편평세포암이나 여러 림프종에 대한 우려만으로 보형물을 제거하는 것을 권고하지 않습니다. BIA-ALCL은 2024년 6월 기준 FDA에 전 세계 보고 1,380건과 사망 64건이 접수된 드문 질환입니다. 보고 사례의 73%가 거친 표면 보형물이었습니다. 붓기, 멍울, 통증 같은 변화가 있으면 곧바로 진료를 받으세요.","detailed_answer":"<p>BIA-ALCL은 이식 후 진단까지 중앙값 8년이 걸렸습니다. FDA는 보고 자료만으로는 발생률을 알 수 없다고 밝힙니다<span class=\"ref\">[4]</span><span class=\"ref\">[5]</span>.</p><h3>보형물 대신 자기 지방을 쓰는 방법</h3><p>보형물을 원하지 않거나 보형물을 제거한 뒤 볼륨을 채우려는 경우 자기 지방을 옮기는 <a href=\"/ko/entity/breast-fat-grafting\">가슴 지방이식</a>이 대안으로 쓰입니다. 지방에서 분리한 기질혈관분획(SVF)을 섞는 방식은 <a href=\"/ko/entity/stem-cell-breast-augmentation\">줄기세포 가슴성형</a>이라고 부릅니다. 한 번에 늘릴 수 있는 볼륨은 보형물보다 작고, 이식한 지방 일부는 흡수됩니다.</p>","format":"paragraph","confidence":75,"verified_at":"2026-09-18 06:21:20","updated_at":"2026-10-08 09:18:06"},"sources":[{"id":66,"title":"Risks and Complications of Breast Implants","url":"https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants","publisher":"U.S. Food and Drug Administration","type":"government","accessed_at":"2026-11-11 18:00:45"},{"id":67,"title":"What to Know About Breast Implants","url":"https://www.fda.gov/consumers/consumer-updates/what-know-about-breast-implants","publisher":"U.S. Food and Drug Administration","type":"government","accessed_at":"2026-11-11 18:00:46"},{"id":75,"title":"Breast Implants","url":"https://www.fda.gov/medical-devices/implants-and-prosthetics/breast-implants","publisher":"U.S. Food and Drug Administration","type":"government","accessed_at":"2026-11-11 18:00:47"},{"id":76,"title":"Medical Device Reports of Breast Implant-Associated Anaplastic Large Cell Lymphoma","url":"https://www.fda.gov/medical-devices/breast-implants/medical-device-reports-breast-implant-associated-anaplastic-large-cell-lymphoma","publisher":"U.S. Food and Drug Administration","type":"government","accessed_at":"2026-11-11 18:00:48"},{"id":77,"title":"UPDATE: Reports of Squamous Cell Carcinoma (SCC) in the Capsule Around Breast Implants - FDA Safety Communication","url":"https://www.fda.gov/medical-devices/safety-communications/update-reports-squamous-cell-carcinoma-scc-capsule-around-breast-implants-fda-safety-communication","publisher":"U.S. Food and Drug Administration","type":"government","accessed_at":"2026-11-11 18:01:13"},{"id":71,"title":"[안전성정보] 식약처, 유방보형물 이식환자 안전관리 대책 마련","url":"https://emedi.mfds.go.kr/msismext/safeinfo/ALRGAN/postView.do?pstSvl=SFI&pstgSno=34","publisher":"식품의약품안전처","type":"government","accessed_at":"2026-11-11 18:00:48"},{"id":78,"title":"'희귀암 연관' 인공유방‥식약처 회수·보상에도 법원은 제조사 손","url":"https://imnews.imbc.com/news/2026/society/article/6794292_36918.html","publisher":"MBC 뉴스","type":"news","accessed_at":"2026-11-11 18:00:42"},{"id":79,"title":"Will your breast implants last a lifetime?","url":"https://www.plasticsurgery.org/news/blog/will-your-breast-implants-last-a-lifetime","publisher":"American Society of Plastic Surgeons","type":"organization","accessed_at":"2026-11-09 18:00:39"},{"id":80,"title":"Overview of Risk Factors and Prevention of Capsular Contracture Following Implant-Based Breast Reconstruction and Cosmetic Surgery: A Systematic Review (Cureus 12(9):e10341)","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7549852/","publisher":"Cureus / PubMed Central","type":"journal","accessed_at":"2026-11-09 18:00:42"}],"published_at":"2026-09-18 06:21:20"}