I am getting my 30plus old bi-lumens explanted (no replacements) next week but hospital is telling me they will not do pathology on them. Isn't this routine? What if I have bacterial or cancer in the tissue. The mammogram showed leaking silicone and wasn't caught on old mammograms in 2007, 2010 and 2012 from different clinic. What if I demand them back and personally send the to a microbiologist lab following all biohazard safety procedures? Thank you (will send pix later after explant if you want)
February 29, 2016
Answer: Leaking gel implants It will be obvious to the surgeon that the implants are leaking. When I remove these implants I do cultures if I am worried about an infection. I also biopsy anything that is abnormal to rule out cancer. The implants and capsule are evaluated as well but usually not microscopically. Mammograms are not a reliable way to determine leak. Good luck. Jane
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February 29, 2016
Answer: Leaking gel implants It will be obvious to the surgeon that the implants are leaking. When I remove these implants I do cultures if I am worried about an infection. I also biopsy anything that is abnormal to rule out cancer. The implants and capsule are evaluated as well but usually not microscopically. Mammograms are not a reliable way to determine leak. Good luck. Jane
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Answer: Pathology for broken implants Generally, pathology would be done for sample of the tissues surrounding the implants, including the capsule and any fluid collection that may be present, but implants themselves are sent back to the manufacturer for a physical examination and evaluation of the possible causes of rupture.If there is a suspected bacterial infection your surgeon will most likely arrange a culture. A suspect of cancer, which would not be related to silicone gel as far as we know from the available studies, should have been raised by the already performed breast imaging study.
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Answer: Pathology for broken implants Generally, pathology would be done for sample of the tissues surrounding the implants, including the capsule and any fluid collection that may be present, but implants themselves are sent back to the manufacturer for a physical examination and evaluation of the possible causes of rupture.If there is a suspected bacterial infection your surgeon will most likely arrange a culture. A suspect of cancer, which would not be related to silicone gel as far as we know from the available studies, should have been raised by the already performed breast imaging study.
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