Breast cancer screening with implants requires extra views on your mammograms (Ecklund views) where the implant is pushed back, out of the picture, in order to see the areas which are in the implant's shadow in regular views. Otherwise, breast cancer screening is the same as for women without implants. What are the chances that a breast cancer could be missed because it was hidden by the implant? As far as we can tell, very small. Can anyone please tell you what the truth is? The truth is that nobody can give you a 100% certain answer from medical research. You can gather data and crunch the numbers, but you are always limited by the infinite variations between individual people and the number of available study volunteers.Here is my summary of the issue: Most of the clinical studies done to date have found no significant differences in breast cancer rates and survival rates between women with and without implants. The only study to suggest an increased risk to survival was a 2013 meta-analysis (a study where data from multiple clinical studies is combined.) The difference was small and the authors of the study concluded, "These findings should be interpreted with caution, as some studies included in the meta-analysis on survival did not adjust for potential confounders. Further investigations are warranted regarding diagnosis and prognosis of breast cancer among women with breast implants." To put it into perspective, your genetic and lifestyle risk factors, and whether you do your monthly self-exams and get your mammograms on schedule, are more important than whether you have breast implants, either over or under the muscle.It would be helpful to know what you have been reading in order to discuss it more specifically. The media tends to sensationalize medical issues, and breast implants are one of their favorite targets.*BMJ 2013;346:f2399