Breast Augmentation & Mammograms
While there are some risks and drawbacks associated with mammograms done on women with breast implants, mammograms are still the recommended method of breast cancer detection for women with or without implants. It is important to find a radiologist experienced at giving mammograms to women with implants.
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Mammography Recommendations
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The National Cancer Institute (NCI) recommends that all women older than 40 (both with and without breast implants) receive mammograms every two years. At age 50, mammograms are recommended every year, again for all women. For women with a higher risk for developing breast cancer because of family history or personal history of breast cancer, for example, their physicians may opt to give mammograms as early as age 25.
Risks Associated with Mammograms for Women with Implants
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Breast implants "can obscure the mammogram images, decreasing the ability of mammograms to detect breast cancer,"states Dr. Sandhya Pruthi, a Mayo Clinic internist. Because of this, additional X-rays may be needed, adding to the total overall cost. There is increased risk of pain and soreness from the breast compression during the mammogram. There is also the potential for ruptures in both saline and silicone implants.
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Offsetting These Risks
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It is very important to tell your caregiver if you have breast implants at the time of your mammogram. The implants will need to be pushed out of the way or to the side in order to get a clearer X-ray and to keep the implants from being compressed themselves. Your caregiver also will likely opt to take a total of eight X-rays of your breasts, rather than the usual four X-rays taken during a mammogram.
When is a Mammogram not Recommended for Women with Implants?
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Some women develop capsular contracture after they receive implants. Capsular contracture, the most common complication with breast implants, is when the tissue around the implants becomes so hardened that the breast compression necessary during a mammogram is extremely painful, and, in some instances, the mammogram becomes impossible.
Alternatives to Getting a Mammogram
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When capsular contracture makes a mammogram impossible, a more costly MRI (magnetic resonance imaging) or ultrasound may be called for. An MRI is preferred because it produces a much more thorough image; however, some women experience claustrophobia and anxiety during the procedure. An ultrasound is easier to endure and less expensive, but not as effective in detecting breast cancer. Since mammograms are so effective at breast cancer detection and are relatively affordable, they are should be used if at all possible.
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References
- Photo Credit Blonde girl doctor portrait image by MichaelJordan from Fotolia.com
