An Update on Implant-Associated Malignancies and Their Biocompatibility

Int J Mol Sci. 2024 Apr 24;25(9):4653. doi: 10.3390/ijms25094653.

Abstract

Implanted medical devices are widely used across various medical specialties for numerous applications, ranging from cardiovascular supports to orthopedic prostheses and cosmetic enhancements. However, recent observations have raised concerns about the potential of these implants to induce malignancies in the tissues surrounding them. There have been several case reports documenting the occurrence of cancers adjacent to these devices, prompting a closer examination of their safety. This review delves into the epidemiology, clinical presentations, pathological findings, and hypothesized mechanisms of carcinogenesis related to implanted devices. It also explores how the surgical domain and the intrinsic properties and biocompatibility of the implants might influence the development of these rare but serious malignancies. Understanding these associations is crucial for assessing the risks associated with the use of medical implants, and for developing strategies to mitigate potential adverse outcomes.

Keywords: BIA-ALCL; breast implants; implant-associated malignancies; orthopedic implants.

Publication types

  • Review

MeSH terms

  • Animals
  • Biocompatible Materials* / adverse effects
  • Humans
  • Neoplasms* / etiology
  • Prostheses and Implants* / adverse effects

Substances

  • Biocompatible Materials

Grants and funding

This research received no external funding.