Annals of Surgical Oncology

, Volume 8, Issue 2, pp 138–144

Breast Cancer After Augmentation Mammoplasty

Authors

    • Department of SurgeryKeck School of Medicine University of Southern California, and the Van Nuys Breast Center
    • Comprehensive Cancer Center, Keck School of MedicineUniversity of Southern California
  • Howard Silberman
    • Department of SurgeryKeck School of Medicine University of Southern California, and the Van Nuys Breast Center
  • William Dougherty
    • Department of SurgeryKeck School of Medicine University of Southern California, and the Van Nuys Breast Center
  • Parvis Gamagami
    • Department of Preventive MedicineThe Van Nuys Breast Center
  • James Waisman
    • Department of MedicineKeck School of Medicine University of Southern California
  • Richard Sposto
    • Department of Preventive MedicineKeck School of Medicine University of Southern California
  • Melvin J. Silverstein
    • Department of SurgeryKeck School of Medicine University of Southern California, and the Van Nuys Breast Center
Original Articles

DOI: 10.1007/s10434-001-0138-x

Cite this article as:
Skinner, K.A., Silberman, H., Dougherty, W. et al. Ann Surg Oncol (2001) 8: 138. doi:10.1007/s10434-001-0138-x

Abstract

Background:It is thought that implants interfere with breast cancer diagnosis and that cancers in women who have had breast augmentation carry a worse prognosis.

Methods:A prospective breast cancer database was reviewed, comparing augmented and nonaugmented patients for details of histology, palpability, tumor size, nodal status, mammographic status, receptor status, nuclear grade, stage, and outcome.

Results:Ninety-nine cancers in augmented women and 2857 cancers in nonaugmented women were identified. Among these women, mammography was normal in 43% of those who had had augmentation and in 5% of those who had not. Augmented women were more likely to have palpable cancers (83% vs. 59%) and nodal involvement (48% vs. 36%), and less likely to have ductal carcinoma in situ (DCIS) (18% vs. 28%). When comparing only women younger than 50, the differences in invasiveness and nodal status lost significance. Cancers diagnosed in the 1990s were more likely to be nonpalpable and noninvasive than those diagnosed in the 1980s. This trend was more pronounced in the augmented population.

Conclusions:Augmented patients were more likely to have palpable cancers, although the overall stage and outcome were similar to those of nonaugmented women. Although there have been significant improvements in our ability to diagnose early breast cancer over the past two decades, mammography continues to be suboptimal in augmented women.

Key Words

Breast cancerAugmentation Mammoplasty
Download to read the full article text

Copyright information

© The Society of Surgical Oncology, Inc. 2001