title: The Effect of Breast Implants on Mammogram Outcomes.
abstract: Breast cancer detection in women with implants has been questioned. We sought to evaluate the impact of breast implants on mammographic outcomes. A retrospective review of women undergoing mammography between March 1 and October 30, 2013 was performed. Demographic characteristics and mammogram results were compared between women with and without breast implants. Overall, 4.8 per cent of 1863 women identified during the study period had breast implants. Median age was 59 years (26-93). Women with implants were younger (53.9 vs 59.2 years, P < 0.0001), had lower body mass index (25.4 vs 28.9, P < 0.0001), and were more likely to have dense breast tissue (72.1% vs 56.4%, P = 0.004) than those without. There were no statistically significant differences with regards to Breast Imaging Recording and Data System 0 score (13.3% with implants vs 21.4% without), call back exam (18.9% with vs 24.1% without), time to resolution of abnormal imaging (58.6 days with vs 43.3 without), or cancer detection rate (0% with implants vs 1.0% without). Because implants did not significantly affect mammogram results, women with implants should be reassured that mammography remains useful in detecting cancer. However, future research is required to determine whether lower call back rates and longer time to resolution of imaging findings contribute to delays in diagnosis in patients with implants.
authors.affiliation: Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Kelli
authors.initials: K
authors.lastname: Kam
authors.forename: Esther
authors.initials: E
authors.lastname: Lee
authors.forename: Seyed
authors.initials: S
authors.lastname: Pairawan
authors.forename: Kendra
authors.initials: K
authors.lastname: Anderson
authors.forename: Cherie
authors.initials: C
authors.lastname: Cora
authors.forename: Won
authors.initials: W
authors.lastname: Bae
authors.forename: Maheswari
authors.initials: M
authors.lastname: Senthil
authors.forename: Naveenraj
authors.initials: N
authors.lastname: Solomon
authors.forename: Sharon
authors.initials: S
authors.lastname: Lum
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D018427:Breast Implants / Q000009:adverse effects*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D002140:California / Q000453:epidemiology; D055088:Early Detection of Cancer; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008327:Mammography / Q000379:methods*; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors