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Breast cancer after breast augmentation with silicone implants
A C Cahan1, R Ashikari, P Pressman
1Beth Israel Medical Center, North Division, New York, NY, USA.
Annals of Surgical Oncology
|March 1, 1995
Summary
Mammography can detect early-stage breast cancer in women with breast implants (prosthetic augmentation mammoplasty or PAM). Early detection is possible, and breast cancer stage is similar to non-augmented patients.
Area of Science:
- Oncology
- Radiology
- Plastic Surgery
Background:
- Breast cancer in women with prosthetic augmentation mammoplasty (PAM) may present at later stages due to mammographic masking.
- This can lead to suboptimal evaluation and delayed diagnosis.
Purpose of the Study:
- To determine if mammography can detect breast cancer in prepalpable stages in PAM patients.
- To compare the stage of breast cancer at presentation in PAM patients versus non-augmented patients.
Main Methods:
- Retrospective review of 22 patients with breast cancer after PAM.
- Comparison with 611 non-augmented patients and SEER data.
- Analysis of detection mode, tumor size, lymph node involvement, and histopathology.
Main Results:
- No significant differences in tumor size, preinvasive cancer incidence, or lymph node involvement between groups.
- Breast-preserving surgery was less common in augmented patients.
Conclusions:
- Mammography can detect prepalpable and preinvasive breast cancer in PAM patients.
- Stage of presentation is not significantly different compared to non-augmented patients.
- Total mastectomy is preferred for breast cancer treatment in PAM patients.