Mammography and Capsular Contracture? (photo)

   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.

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.

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.

Mammogram first, Ultrasound second, MRI if equivocal.  And biopsy if a mass is identified. Follow closely with your PMD.  Good luck.

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.

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!

If you have a grade III-IV capsular contracture, you should be giving consideration to replacing the implant. In terms of the mass in the left breast, mammography is the diagnostic procedure of choice for evaluation of that lesion, which should take precedence. You should, of course, tell the technician that you have implants so she can take as much care as possible.