I have a round, lump in my right breast that is painful when examined
"Silent Rupture" of Silicone Implants?
Doctor Answers 10
A round painful lump in your breast should be evaluated by your physician to determine the cause. The lump is not likely to be related to your implants. The best way to evaluate for rupture of the implants is an MRI x-ray. The MRI is extremely effective in finding rupture of silicone implants. Since it is a painful nodule, it is most likely a cyst, but there can be other causes.
Breast masses with implants
While it is entirely possible for silicone implants to rupture or leak, it would be extremely unusual for a rupture to present as a painful round lump in your breast. Most ruptured silicone implants will present as a capsular contracture. A painful lump in the breast tissue is more likely to be a benign cyst. While it is possible that the lump could represent a malignancy, most breast cancers present as painless nodules. I would suggest that you have a physical exam with your plastic surgeon and then possibly have either an ultrasound, mammogram, or MRI to evaluate further. The benefit of each of these studies will be somewhat determined by your physical exam.
A silent rupture is one that is not recognized by exam. If you have silicone implants, the most accurate study is an MRI. Good luck.
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A silicone gel breast implant can indeed leak without notice (silent rupture) and therefore the MRI recommendation by the FDA to detect leaks early before tenderness and capsular contracture sets in. Your breast lump deserves a full exam and never should be assumed related to the implant or implant rupture.
There are several reasons that a new mass in your breast can be tender. This can represent benign, normal breast tissue, a change in your breast implant capsule, or could be more nefarious- including cancers. I encourage you to see your primary care physician or your plastic surgeon for a complete evaluation. This is not something that can be diagnosed on the internet.
Lump in breast with silicone implants
Hello Danni. Finding a lump in your breast is frightening. To answer your question, silently ruptured silicone implants could lead to lumps that you can feel, but there are many things that can cause breast lumps. You are doing the right thing by addressing it, but I cannot emphasize enough how important it is to see a physician for an exam. I recommend that you see your plastic surgeon as soon as possible.
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Your concern about the breast finding is understandable but you'll be much better off seeking in-person consultation with board-certified plastic surgeons for accurate advice and recommendations. It is possible that this consultation alone will suffice; it is also possible that additional studies ( MRI study of the breast) will be helpful in providing a diagnosis and treatment plan.
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