In patients with large breasts undergoing a subcutaneous mastectomy with immediate implant-based reconstruction, is necessary to perform a mastopexy. The combination of these procedures increases the complication rate. To reduce it, it is necessary to cover the lower pole of the implant. Our study aimed to compare the use of an autologous dermal flap and an absorbable breast mesh. A total of 64 patients without previous breast surgery were divided into 2 groups, each with 32 patients. In the 1st group, the implant was covered with an autologous caudally based dermal flap, sutured to the great pectoral muscle. In the 2nd group, the implant was covered with a fully absorbable breast mesh, fixed caudally in the inframammary fold and cranially to the great pectoral muscle. The incidence of complications, the aesthetic effect, and patient satisfaction were evaluated in a one-year follow-up. In the 1st group, there were 2 cases of seroma, 2 partial nipple-areola complex necrosis, 4 cases of dehiscence in the T-suture, and the malposition of the implant in 2 patients. In the 2nd group, there were 2 cases of seroma, 2 cases of T-junction dehiscence, and 1 case of full nipple-areola complex necrosis, which resulted in implant loss. There was no significant difference in patient satisfaction between the study groups. The dermal flap is more suitable for breasts with pronounced ptosis. The use of the synthetic mesh is suitable for smaller breasts, where the possible dermal flap would be too small to cover the implant. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

• MeSH
• chirurgické síťky MeSH
• lidé MeSH
• mamoplastika * škodlivé účinky   metody   MeSH
• mastektomie metody   MeSH
• nádory prsu * chirurgie   MeSH
• nekróza chirurgie   MeSH
• prsní bradavky chirurgie   MeSH
• retrospektivní studie MeSH
• serom chirurgie   MeSH
• subkutánní mastektomie * metody   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare peripheral T cell lymphoma. BIA-ALCL is a disease of the fibrous capsule surrounding the implant and occurs in patients after both breast reconstruction and augmentation. More than 300 cases have been reported so far, including two in a transgender patient. Here we describe BIA-ALCL presented with a mass in a transgender patient and the first case of BIA-ALCL in the Czech Republic. In 2007, a 33-year-old transgender male to female underwent bilateral breast augmentation as a part of his transformation to female. In June 2014, the patient developed a 5-cm tumorous mass in her left breast. Magnetic resonance imaging of the chest revealed a ruptured implant and a tumorous mass penetrating into the capsule and infiltrating the pectoral muscle. An R0 surgery was indicated-the implant, silicone gel and capsule were removed, and the tumorous mass was resected together with a part of the pectoral muscle. Histology revealed anaplastic large-cell lymphoma. The patient underwent standard staging procedures for lymphoma including a bone marrow trephine biopsy, which confirmed stage IE. The patient was treated with the standard chemotherapy for systemic ALCL-6 cycles of CHOP-21. The patient was tumor-free at the 2-year follow-up. BIA-ALCL has been reported mostly in women who received implants for either reconstructive or aesthetic augmentation. This is the third report of BIA-ALCL in a transgender person, the first in the Czech Republic. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

• MeSH
• anaplastický velkobuněčný lymfom diagnostické zobrazování   etiologie   terapie   MeSH
• cyklofosfamid MeSH
• doxorubicin MeSH
• implantace prsní náhrady škodlivé účinky   metody   MeSH
• imunohistochemie MeSH
• jehlová biopsie MeSH
• kombinovaná terapie MeSH
• lidé MeSH
• magnetická rezonanční tomografie metody   MeSH
• nádory prsu diagnostické zobrazování   etiologie   terapie   MeSH
• následné studie MeSH
• odstranění implantátu MeSH
• PET/CT MeSH
• prednison MeSH
• protokoly antitumorózní kombinované chemoterapie MeSH
• prsní implantáty škodlivé účinky   MeSH
• silikonové gely škodlivé účinky   MeSH
• transgender osoby MeSH
• vinkristin MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

• MeSH
• dostupnost zdravotnických služeb normy   trendy   MeSH
• kombinovaná terapie metody   využití   MeSH
• kvalita života MeSH
• lidé MeSH
• mastektomie * metody   využití   MeSH
• nádory prsu * chirurgie   MeSH
• prsní implantáty trendy   využití   MeSH
• statistika jako téma MeSH
• zákroky plastické chirurgie * metody   využití   MeSH
• Check Tag
• lidé MeSH
• Geografické názvy
• Česká republika MeSH

• MeSH
• karcinom MeSH
• lidé MeSH
• nádory prsu * chirurgie   terapie   MeSH
• Check Tag
• lidé MeSH

• Klíčová slova
• onkotým,
• MeSH
• axila patologie   MeSH
• časové faktory MeSH
• geny BRCA1 MeSH
• kvalita života MeSH
• lidé MeSH
• mastektomie MeSH
• metastázy nádorů MeSH
• mutace MeSH
• nádory prsu * genetika   chirurgie   terapie   MeSH
• neoadjuvantní terapie * MeSH
• prognóza MeSH
• triple-negativní karcinom prsu farmakoterapie   chirurgie   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH

• Publikační typ
• abstrakt z konference MeSH

• Publikační typ
• abstrakt z konference MeSH

• MeSH
• lidé MeSH
• mastektomie využití   MeSH
• nádory prsu chirurgie   MeSH
• prsy * chirurgie   MeSH
• výsledek terapie MeSH
• zákroky plastické chirurgie * metody   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• abstrakt z konference MeSH

• Klíčová slova
• rekonstrukce prsu po parciálních výkonech, rekonstrukce dvorce, rekonstrukce bradavky,
• MeSH
• autologní transplantace MeSH
• břišní svaly transplantace   MeSH
• břišní tuk MeSH
• chirurgické laloky klasifikace   využití   MeSH
• expanze tkáně MeSH
• lidé MeSH
• mamoplastika * metody   trendy   využití   MeSH
• mastektomie MeSH
• nádory prsu chirurgie   MeSH
• profylaktická mastektomie MeSH
• prsy * chirurgie   MeSH
• zákroky plastické chirurgie * dějiny   metody   využití   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• přehledy MeSH