I am 35 years old, 12 year old saline breast implants sub glandular placement. I have what seems to be a cystic mass under my areola of my Left breast. I also have III or IV capsular contracture in that breast. My FNP ordered a diagnostic mammogram on the left breast, but I am scared that with the Capsular Contracture and age of my implants that it may cause a rupture and not get a good view anyway. I think ultrasound might be better - but the FNP won't consider it. Drs please weigh in.
Mammography and Capsular Contracture? (photo)
Doctor Answers (9)
Mammogram and rupture of implant
It is possible for a mammogram to lead to rupture of an implant (especially with a capsular contracture). If this is a concern, get an ultrasound of MRI.
Mammography, Ultrasound, and MRI for Breast Mass in Women 35 and Older
I would agree that for diagnostic purposes, the sequence in the breast mass for women 35 years and older should be mammography, ultrasound, then MRI, if necessary.
Mammogram first, Ultrasound second, MRI if equivocal. And biopsy if a mass is identified. Follow closely with your PMD. Good luck.
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Mammography and Capsular Contracture?
I ABSOLUTELY recommend a mammogram FIRST than a possible ultrasound. Why play around with the issue of a breast cancer possibility!!!
the ultasound is the better test to dettermine if a mass is solild or cystic. They all eventually will need fine needle aspiration or biopsy if suspicious.
Actually, ultrasound is a better modality to evaluate where a mass is cystic or solid. But a mammogram is better for looking for microcalcifications, which are a hallmark of breast cancer.
I probably would have ordered both tests.
Tell your radiology tech about your concerns. The risk of implant damage from mammography is low - but unfortunately, it's not zero-risk.
Change the Implant(s)
Get the mammogram because its the best diagnostic method to determine what is going on...as long as the technician performing the study is careful there shouldn't be a risk to your implant... In any case, as soon as this issue is addressed, I would recommend redoing your breast implants and probably replacing them with silicone gel implants. At the least, you should redo the left breast to treat the capsular contracture and improve its appearance to better match the right breast!
Web reference: http://www.sadehsurgery.com/breast_augmentation.htm
Mammogram or sonogram
Mammograpy and Ultrasound Are Important in Breast Evaluation
Thank you for your question. Mammography is a standard part of screening for breast cancer. Wile cysts also need to be evaluated with an ultrasound, it cannot be subsituted for a mammogram for diagnostic screening. Both tests give you different information. While your capsular contractures and the implant are a concern, your breast health is more important. If you have further concerns, you should consult with an oncologic breast surgeon for addiional advice. Good luck!
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