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Related Experiment Videos

Mammography and breast implants.

H Hayes1, J Vandergrift, W C Diner

  • 1Department of Surgery (Plastic), University of Arkansas for Medical Sciences, Little Rock.

Plastic and Reconstructive Surgery
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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Screening mammography is crucial for detecting breast cancer. However, breast implants can obscure significant amounts of glandular tissue, potentially reducing the reliability of mammograms for augmented patients.

Area of Science:

  • Radiology
  • Oncology
  • Breast Imaging

Background:

  • American Cancer Society guidelines emphasize screening mammography for early breast cancer detection.
  • Increased availability of screening mammography services targets women aged 40 and over.
  • A significant population of women, including those with augmentation mammaplasty, undergo mammography.

Purpose of the Study:

  • To evaluate the impact of breast implants on the reliability of screening mammography.
  • To quantify the amount of breast tissue obscured by augmentation implants.

Main Methods:

  • Calibrated planimetry was employed to measure implant area and glandular breast tissue.
  • Six sets of mammograms from patients with breast implants were analyzed.
  • Solid geometric calculations were used to determine the percentage of obscured glandular tissue.

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Main Results:

  • The percentage of glandular breast tissue obscured by implants ranged widely from 22% to 83%.
  • This substantial variation indicates a significant impact of implants on mammographic assessment.
  • The findings raise concerns about the accuracy of routine mammography in augmented breasts.

Conclusions:

  • Routine film-screen mammography may be unreliable for women with breast implants due to variable tissue obscuration.
  • Further research is needed to establish optimal breast cancer screening protocols for this patient group.
  • The findings question the efficacy of current screening mammography practices for augmented patients.