{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T09:51:44Z","timestamp":1791193904856,"version":"4.1.0"},"reference-count":47,"publisher":"Akademiai Kiado Zrt.","issue":"40","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,10,4]]},"abstract":"<jats:p>Napjaink plasztikai seb\u00e9szet\u00e9ben az eml\u0151implant\u00e1tumok alkalmaz\u00e1sa elengedhetetlen\n                    m\u0171t\u00e9ttechnikai eszk\u00f6z mind a rekonstrukci\u00f3s, mind az eszt\u00e9tikai c\u00e9l\u00fa\n                    beavatkoz\u00e1sok sor\u00e1n. A be\u00fcltet\u00e9s egy\u00e9rtelm\u0171 pozit\u00edv hat\u00e1sa, hogy jav\u00edtja a\n                    testk\u00e9pet \u00e9s ezzel az \u00f6n\u00e9rt\u00e9kel\u00e9st, azonban az elm\u00falt h\u00fasz \u00e9vben a sikeres\n                    haszn\u00e1lat mellett megjelent az implant\u00e1tumok \u00e1rnyoldala, amelyet\n                    implant\u00e1tumbetegs\u00e9gk\u00e9nt ismer az orvosi szakirodalom. Ezek az\n                    eml\u0151implant\u00e1tum-betegs\u00e9g (breast implant illness \u2013 BII), az eml\u0151implant\u00e1tummal\n                    \u00f6sszef\u00fcgg\u0151 anaplasticus nagysejtes lymphoma (breast implant-associated\n                    anaplastic large cell lymphoma \u2013 BIA-ALCL) \u00e9s az eml\u0151implant\u00e1tummal \u00f6sszef\u00fcgg\u0151\n                    laph\u00e1mr\u00e1k (breast implant-associated squamous cell carcinoma \u2013 BIA-SCC). Az\n                    eml\u0151implant\u00e1tum-lymphoma ritka, de j\u00f3l k\u00f6r\u00fclhat\u00e1rolt szindr\u00f3ma, amely\n                    anaplasticus, CD30+ T-sejtes non-Hodgkin-lymphoma, amely els\u0151sorban a textur\u00e1lt\n                    felsz\u00edn\u0171 implant\u00e1tumok k\u00f6r\u00fcl alakul ki. A betegs\u00e9g \u00e1ltal\u00e1ban k\u00e9s\u0151bb, az\n                    implant\u00e1ci\u00f3t k\u00f6vet\u0151 8\u201312 \u00e9v ut\u00e1n alakul ki, \u00e9s az implant\u00e1tum k\u00f6r\u00fcli lok\u00e1lis\n                    t\u00fcnetek (k\u00e9s\u0151i seroma, eml\u0151[k] alakj\u00e1nak megv\u00e1ltoz\u00e1sa, aszimmetri\u00e1ja stb.)\n                    domin\u00e1lnak. El\u0151rehaladott, III. \u00e9s IV. st\u00e1dium\u00fa esetekben sziszt\u00e9m\u00e1s t\u00fcnetek is\n                    kialakulhatnak, mint kr\u00f3nikus f\u00e1radts\u00e1g, l\u00e1z, \u00e9jszakai izzad\u00e1s, illetve\n                    region\u00e1lis nyirokcsom\u00f3- vagy t\u00e1voli \u00e1tt\u00e9tek (p\u00e9ld\u00e1ul mellkasfal, m\u00e1j, v\u00e9konyb\u00e9l,\n                    csontvel\u0151). Lokaliz\u00e1lt eml\u0151implant\u00e1tum-lymphoma eset\u00e9n (I. st\u00e1dium) az en bloc\n                    explant\u00e1ci\u00f3 \u00e9s capsulectomia sokszor kurat\u00edv megold\u00e1st jelent, \u00e9s nem sz\u00fcks\u00e9ges\n                    tov\u00e1bbi adjuv\u00e1ns kezel\u00e9s. A II\u2013IV. st\u00e1diumban posztoperat\u00edv adjuv\u00e1ns\n                    kemoradioter\u00e1pia \u00e9s biol\u00f3giai kezel\u00e9s is sz\u00fcks\u00e9ges. A betegs\u00e9g kezel\u00e9si\n                    protokolljai kiemelt figyelmet ford\u00edtanak a multidiszciplin\u00e1ris megk\u00f6zel\u00edt\u00e9sre,\n                    amelyn\u00e9l a plasztikai seb\u00e9szek mellett onkol\u00f3gus, radiol\u00f3gus, patol\u00f3gus \u00e9s\n                    pszichol\u00f3gus is r\u00e9szt vesz a betegell\u00e1t\u00e1sban. Ez a holisztikus szeml\u00e9let jav\u00edtja\n                    a hossz\u00fa t\u00e1v\u00fa ter\u00e1pi\u00e1s eredm\u00e9nyeket \u00e9s a betegek \u00e9letmin\u0151s\u00e9g\u00e9t. A nemzetk\u00f6zi\n                    irodalmat \u00e1ttekint\u0151 \u00e9s a hazai gyakorlati adatokat figyelembe vev\u0151 jelen\n                    tanulm\u00e1ny a folyamatok h\u00e1tter\u00e9ben \u00e1ll\u00f3 immunol\u00f3giai folyamatokat,\n                    epidemiol\u00f3giai, klinikai \u00e9s seb\u00e9szeti t\u00e9nyez\u0151ket mutatja be. Orv Hetil. 2026;\n                    167(40): 1605\u20131615.<\/jats:p>","DOI":"10.1556\/650.2026.33681","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T08:58:54Z","timestamp":1791190734000},"page":"1605-1615","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az eml\u0151implant\u00e1tum-betegs\u00e9gek Janus-arca II."],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8564-2726","authenticated-orcid":true,"given":"B\u00e9la Zolt\u00e1n","family":"Debreczeni","sequence":"first","affiliation":[{"name":"DrD Plasztikai St\u00fadi\u00f3 Budapest, Kuny Domokos \u00fat 1., 1012 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ferencz","sequence":"additional","affiliation":[{"name":"Budapesti P\u00e9terfy S\u00e1ndor Utcai K\u00f3rh\u00e1z-Rendel\u0151int\u00e9zet, Seb\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Cohen Tervaert CJ, Mohazab N, Redmond D, et al. 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