Does any surgeon test for BIA ALCL CD 30 aspiration and send implants to pathology? Breast Implant Illness? (Photo)

Yes, this is standard for suspicion for ALCL.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

BIA ALCL (breast implant associated anaplastic large cell lymphoma) is very rare, and is presents with fluid around the implant which causes the breast to swell. This fluid can be sent for a special test called “CD-30”, which your doctor must make sure the pathologist is experienced in breast seroma related cytometry so they could make the diagnosis. It’s even better to remove the entire capsule (complete capsulectomy), because why the heck do you have a late seroma anyway? Biofilm? Implant rupture? All great reasons for capsulectomy. Not only does it diagnose the ALCL, but it is also the cure. That’s right, no radiation or chemotherapy, but the entire capsule and implant must be removed. 
Meanwhile, back to your question, you have a whole torso rash and you clearly have some inflammatory process going on, especially where the skin of the breasts rub. Certainly you can remove the implants, but don’t forget there are more common reasons to have a rash, like skin exposure to allergens or something you are ingesting. Finally I hate to mention it but I’ve removed a few saline implants where the surgeons had put chemicals like betadine or steroids in the bag... no doubt to be helpful... but did not help the patient long term.