scholarly journals Patient-Awareness Survey: Do Breast Implants Affect the Acquisition and Accuracy of Screening Mammography?

2019 ◽  
Vol 1 (4) ◽  
pp. 297-302
Author(s):  
Kristin A Robinson ◽  
Richard J Gray ◽  
Aneri Tanna ◽  
Heidi E Kosiorek ◽  
Richard J Butterfield ◽  
...  
Keyword(s):  
Breast Augmentation ◽  
Breast Imaging ◽  
Breast Tissue ◽  
Breast Surgery ◽  
Breast Implant ◽  
Breast Implants ◽  
The United States ◽  
Screening Mammography ◽  
Patient Awareness ◽  
Institutional Review

Abstract Objective Breast implant augmentation is the most common cosmetic surgical procedure performed in the United States. The purpose of this study was to determine if patients with breast augmentation surgery are aware of the effect of breast implants on the mammographic detection of cancer. Methods An institutional review board exempt patient awareness survey was distributed at a single breast imaging facility to women undergoing screening mammography. Comparative statistical analyses were performed between patients with and without breast implants. Results The respondents were divided into three groups: no prior breast surgery (74%; 524/711), breast surgery with implants (21%; 152/711), and breast surgery without implants (5%; 35/711). Patients with breast implants were more aware that implants decrease the amount of breast tissue seen on a mammogram (75%; 105/141) and that implants result in the need for more mammogram views (70%; 103/147), as compared with patients with no surgery (46%; 221/484 and 31%; 147/478, respectively) (P < 0.001). More women with breast implants reported learning from breast imaging staff rather than from their surgeon that implants decrease the amount of breast tissue seen on a mammogram (46%; 49/106 vs. 38%; 40/106). Of 137 respondents, 35% (n = 48) reported that the effect of implants on their mammogram was discussed preoperatively. Of those who did not recall a preoperative discussion, 42% (16/38) indicated this knowledge would have factored into their decision to get breast implants. Conclusion This study highlights an opportunity for providers to engage in more education and shared decision-making with patients considering breast augmentation surgery to ensure preoperative counseling includes discussion of the effect of implants on mammography.

Breastfeeding After Breast Implant Surgery

2020 ◽  
Vol 11 (4) ◽  
pp. 202-206
Author(s):  
Catherine Watson Genna
Keyword(s):  
Milk Production ◽  
Breast Augmentation ◽  
Breast Surgery ◽  
Breast Implant ◽  
Significant Risk ◽  
Breast Implants ◽  
Augmentation Mammaplasty ◽  
Implant Surgery ◽  
History Of ◽  
Type Of Surgery

Breast surgery increases the risk for difficulties with milk production and breastfeeding. Research on lactation outcomes of breast augmentation with implants is reassuring, but reveals a significant risk of low milk production that varies with the type of surgery and position of the implants. Understanding the potential effects of breast implants on breastfeeding can help lactation professionals optimize outcomes for families with a history of augmentation mammaplasty.

Injected Breast Materials: Review of Imaging Features and Characteristics

2021 ◽  
Author(s):  
Yukun Gao ◽  
E Jane Karimova ◽  
Jordana Phillips ◽  
Valerie Fein-Zachary ◽  
Vandana Dialani ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Breast Augmentation ◽  
Breast Imaging ◽  
Breast Implants ◽  
The United States ◽  
Imaging Features ◽  
Imaging Findings ◽  
Imaging Appearance ◽  
Characteristic Imaging ◽  
Optimal Patient Management

Abstract In the United States, silicone and saline breast implants with their familiar radiologic appearance are the mainstays of breast augmentation. However, less well-known sequelae of unconventional injected materials introduced for cosmetic and noncosmetic purposes may also be encountered on breast imaging—for example, free silicone, paraffin and/or oil, polyacrylamide gel, autologous fat, and hyaluronic acid, which are encountered in the setting of breast augmentation. Breast injection of go-yak is not cosmetic but also results in characteristic imaging findings. Breast changes due to extravasation of chemotherapy or interstitial brachytherapy can mimic the appearance of injected noncosmetic materials. Because many of these materials can mimic or obscure imaging findings of breast cancer, it is important to recognize their varied appearances and the limitations of imaging alone in delineating breast injection material from cancer. Given the relatively uncommon incidence of injected materials into the breast, this article aims to review the imaging appearance in order to aid radiologists in maximizing cancer detection and ensuring optimal patient management.

scholarly journals Can we Measure a Woman’s Cancer Risk When Breast Implants are Present? – YES!!!

2020 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Breast Imaging ◽  
Breast Tissue ◽  
Regional Blood Flow ◽  
Breast Implant ◽  
Treatment Options ◽  
Breast Implants ◽  
Molecular Breast Imaging ◽  
The Face ◽  
Unique Method ◽  
Potential Methods

Background: Breast implants are now recognized to be associated with a variety of potential problems, including inflammatory changes – both locally and systemically – precancerous and cancerous changes. Monitoring these changes are particularly problematic in the face of breast implants. Molecular breast imaging (MBI) using FMTVDM* provides a unique method for measuring changes in breast tissue in these individuals. This study examines that potential. Methods: Eighteen breast implants were evaluated in women who had undergone implantation for a variety of reasons. These women underwent measurement of regional blood flow (RBF) and metabolism differences to determine the extent of inflammation, precancerous and cancerous changes. Results: Measured changes in RBF and metabolism were not influenced by breast implants. Among the 18 breast implant studies; there were 4 instances of inflammation (22%), 5 (28%) instances of precancerous changes and 1 (5%) instance of breast cancer. Conclusions: MBI using FMTVDM provides a non-invasive ability to measure changes in breast tissue in women who have undergone breast implantation. The measured monitoring of these changes allows clinicians a tool to make clinical decisions regarding either the need to remove the breast implant or provide alternative treatment options.

scholarly journals Intraoperative Assessment of Endogenous Microbiota in the Breast

2021 ◽  
Vol 43 (10) ◽  
pp. 759-764
Author(s):  
Henrique Stachon ◽  
Vanessa Amoroso ◽  
Cicero Urban ◽  
Pamela Bioni ◽  
Cleverton Spautz ◽  
...  
Keyword(s):  
Staphylococcus Epidermidis ◽  
Breast Tissue ◽  
Breast Surgery ◽  
Breast Implant ◽  
Brain Heart Infusion ◽  
Breast Implants ◽  
Large Cell ◽  
Aeromonas Salmonicida ◽  
Staphylococcus Hominis ◽  
Near Future

Abstract Objective: Breast surgery is considered a clean surgery; however, the rates of infection range between 3 and 15%. The objective of the present study was to intraoperatively investigate the presence of autochthonous microbiota in the breast. Methods: Pieces of breast tissue collected from 49 patients who underwent elective breast surgery (reconstructive, diagnostic, or oncologic) were cultured. The pieces of breast tissue were approximately 1 cm in diameter and were removed from the retroareolar area, medial quadrant, and lateral quadrant. Each piece of tissue was incubated in brain heart infusion (BHI) broth for 7 days at 37°C, and in cases in which the medium became turbid due to microorganism growth, the samples were placed in Petri dishes for culturing and isolating strains and for identifying species using an automated counter. Results: Microorganism growth was observed in the samples of 10 of the 49 patients (20.4%) and in 11 of the 218 pieces of tissue (5%). The detected species were Staphylococcus lugdunensis, Staphylococcus hominis, Staphylococcus epidermidis, Sphingomonas paucimobilis, and Aeromonas salmonicida. No patient with positive samples had clinical infection postoperatively. Conclusion: The presence of these bacteria in breast tissue in approximately 20% of the patients in this series suggests that breast surgery should be considered a potential source of contamination that may have implications for adverse reactions to breast implants and should be studied in the near future for their oncological implications in breast implant-associated large-cell lymphoma etiology.

scholarly journals Breast implant-associated anaplastic large cell lymphoma in an Asian patient: The first case report from Thailand

2020 ◽  
Vol 47 (5) ◽  
pp. 478-482
Author(s):  
Peera Thienpaitoon ◽  
Wareeporn Disphanurat ◽  
Naree Warnnissorn
Keyword(s):  
Case Report ◽  
Anaplastic Large Cell Lymphoma ◽  
Breast Augmentation ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Large Cell ◽  
The United States ◽  
True Incidence ◽  
First Case ◽  
Large Cell Lymphoma

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has received increasing interest among plastic surgeons as a long-term complication of breast augmentation. Although the prognosis is usually good, mortality is a possible outcome. Most of the cases reported in the past two decades have been from the United States, Europe, and Australia, whereas cases of BIA-ALCL in Asia remain rare. Herein, we describe the first known case of BIA-ALCL in Thailand, in which a 32-year-old woman developed BIA-ALCL 3 years after breast augmentation using textured implants. The patient underwent bilateral removal of the implants and ipsilateral total capsulectomy. This case report—the first of its kind from Thailand—should increase awareness of BIA-ALCL among plastic surgeons in Asia. The true incidence of BIA-ALCL in Asia may be underreported.

Silicone gel in biological systems

1992 ◽  
Vol 50 (1) ◽  
pp. 650-651
Author(s):  
William B. Greene ◽  
Lyle G. Walsh ◽  
Richard M. Silver ◽  
Joann Allen ◽  
John C. Maize
Keyword(s):  
Breast Augmentation ◽  
Latency Period ◽  
Breast Implants ◽  
The United States ◽  
Tissue Reaction ◽  
Silicone Implants ◽  
Clinical Group ◽  
Silicone Breast Implants ◽  
Silicone Gel ◽  
Silica Filler

Electron probe microanalysis of biopsies from two patients who had received silicone gel breast implants has revealed silicon (Si) in macrophages in an arthritic finger joint synovium (Fig. 1) and in a sclerodermatous skin lesion as well as in the fibrous capsule surrounding the implants in both patients (Fig. 2). The silastic envelope has been reported to be semipermeable with substances passing freely into and out of the implant. The polymer usually contains silica filler with a particle size of 30μm to impart added firmness, however, these sharp pointed crystals have not been fully characterized by Electron Microscopy. Silicone has been thought to be relatively inert, eliciting little or no tissue reaction. The substance has been injected or surgically placed into the human body as liquid, joints or in the form of breast augmentation prostheses. Recent reports have indicated that there is more than sufficient reason to change our thinking regarding this chemical and it's significance in biological reactions. There are 100,000 patients who undergo breast augmentation each year in the United States alone with over one million reported silicone implants. One clinical group reported that 4.4% of all new scleroderma patients had silicone breast implants. The patients reported in the study had implants from 2 to 21 years duration. The latency period may mean that scleroderma will increase parallel to the increase in breast augmentation over the last decade.

Role of mammography to assess complications of silicone gel breast implants

1995 ◽  
Vol 3 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Walter Peters ◽  
Dennis Smith ◽  
Harvey Grosman ◽  
Victor Fornasier
Keyword(s):  
Breast Imaging ◽  
Breast Implant ◽  
Breast Implants ◽  
Cystic Mass ◽  
Implant Removal ◽  
The Other ◽  
Serous Effusion ◽  
Implant Rupture ◽  
Sensitivity Rate

Mammography is not accurate to predict implant rupture in most patients. Its sensitivity rate is only 11 to 16%. However, two mammographic findings appear to suggest implant rupture: the appearance of large areas of implant herniation, and the appearance of silicone globules lying outside the margins of the implant. Mammography is also helpful to predict capsular calcification and to assess certain complications of retained breast implant capsules. Two patients presented with retained capsules which had not resolved, two and five years after implant removal. One patient developed a spiculated mass, suspicious for carcinoma, that proved to be a cystic mass resulting from persistent serous effusion. The other patient demonstrated a large densely calcified capsule which interfered with breast imaging.

scholarly journals Sensitivity of screening mammography by density and texture: a cohort study from a population-based screening program in Denmark

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
My von Euler-Chelpin ◽  
Martin Lillholm ◽  
Ilse Vejborg ◽  
Mads Nielsen ◽  
Elsebeth Lynge
Keyword(s):  
Breast Density ◽  
Breast Imaging ◽  
Breast Tissue ◽  
Screening Program ◽  
Population Based ◽  
Screening Mammography ◽  
Dense Breast Tissue ◽  
Density Score ◽  
Screening Sensitivity ◽  
Low Sensitivity

Abstract Background Screening mammography works better in fatty than in dense breast tissue. Computerized assessment of parenchymal texture is a non-subjective method to obtain a refined description of breast tissue, potentially valuable in addition to breast density scoring for the identification of women in need of supplementary imaging. We studied the sensitivity of screening mammography by a combination of radiologist-assessed Breast Imaging Reporting and Data System (BI-RADS) density score and computer-assessed parenchymal texture marker, mammography texture resemblance (MTR), in a population-based screening program. Methods Breast density was coded according to the fourth edition of the BI-RADS density code, and MTR marker was divided into quartiles from 1 to 4. Screening data were followed up for the identification of screen-detected and interval cancers. We calculated sensitivity and specificity with 95% confidence intervals (CI) by BI-RADS density score, MTR marker, and combination hereof. Results Density and texture were strongly correlated, but the combination led to the identification of subgroups with different sensitivity. Sensitivity was high, about 80%, in women with BI-RADS density score 1 and MTR markers 1 or 2. Sensitivity was low, 67%, in women with BI-RADS density score 2 and MTR marker 4. For women with BI-RADS density scores 3 and 4, the already low sensitivity was further decreased for women with MTR marker 4. Specificity was 97–99% in all subgroups. Conclusion Our study showed that women with low density constituted a heterogenous group. Classifying women for extra imaging based on density only might be a too crude approach. Screening sensitivity was systematically high in women with fatty and homogenous breast tissue.

scholarly journals Research Related to Capsular Contracture after Breast Augmentation for Cosmetic or Reconstructive Purposes

2019 ◽  
Vol 70 (5) ◽  
pp. 1619-1624
Author(s):  
Silviu Adrian Marinescu ◽  
Dan Mircea Enescu ◽  
Catalin Gheorghe Bejinariu ◽  
Carmen Giuglea
Keyword(s):  
Breast Augmentation ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Capsular Contracture ◽  
Breast Implants ◽  
Large Cell ◽  
Upward Trend ◽  
Silicone Breast Implants ◽  
Number Of Patients ◽  
Alloplastic Breast Reconstruction

The upward trend of patients opting for elective breast augmentation, as well as the large number of patients benefiting from alloplastic breast reconstruction, require further studies on the safety profile of these techniques. Without any doubt, the incidence of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) has drawn attention to the possible unknown complications characteristic of these procedures, creating the context of further studies devoted to this issue. The present research examines the capsular contracture rate on a group of 253 patients between 2015 and 2019, also proposing a scoring system based on the integration of the main diagnostic criteria related to the capsular contracture. The results of the literature review indicate that a lower incidence of capsular contracture could be achieved by using the newest techniques in the field involving the application of chemical substances on the surface of the latest generation of silicone breast implants.

scholarly journals Gossypiboma after Breast Augmentation

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Kira Lundin ◽  
Julie E. Allen ◽  
Lene Birk-Soerensen
Keyword(s):  
Plastic Surgery ◽  
Breast Augmentation ◽  
Breast Tissue ◽  
Breast Implants ◽  
Private Clinic ◽  
Cosmetic Result ◽  
Surgical Removal ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
The Right

A 39-year-old woman was referred for removal of cosmetic breast implants and related siliconoma. After an exchange of breast implants at a private clinic a year previously, she had asymmetry of the right breast, persistent pain, and a generally unacceptable cosmetic result. An MRI had shown a well-defined area with spots of silicone-like material at the upper pole of the right breast. Surgical removal of presumed silicone-imbibed breast tissue was undertaken, and surprisingly a gossypiboma was found in its place, which had not been identified on the MRI. Gossypiboma is the condition of an accidentally retained surgical sponge. This complication is also known as a textiloma, gauzoma, or muslinoma and is well described in other surgical specialties. However, it is extremely rare after plastic surgery, and this case illustrates the need for continued attention to the surgical count of sponges and instruments.

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