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Stunning Comments on the Risk of Breast Implants, and Cancer

shhhhh

The FDA recently iden­tified a link between breast implants and a rare form of lym­phoma. From today’s report in the New York Times:

When talking to patients about a rare type of cancer linked to breast implants, plastic sur­geons should call it “a con­dition” and avoid using the words cancer, tumor, disease or malig­nancy, the pres­ident of the American Society of Plastic Sur­geons advised members during an online seminar on Feb. 3.

This is how doctors spoke to patients 50 and 100 years ago, and in some cul­tures still do, by not men­tioning scary words – espe­cially to women, and not calling a cancer what it is.

Cos­metic verbage?

Most cancers aren’t lethal* is one message for 2011: the “big C” turns out to be a spectrum of hun­dreds of dis­eases, each with dis­tinct sub­types, and patients shouldn’t panic when they hear the word. Some are benign in behavior although

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An Oncologist Considers Rare Lymphomas in Women With Breast Implants

I have to admit that when I first read about the FDA’s report tying rare cases of anaplastic large cell lym­phoma to breast implants, my mind raced with a strange blend of excitement, intense interest and concern. My thoughts shifted from “wow, that’s really inter­esting” to “exactly what did the FDA find” to “should I be worried?“

So I’ve decided to write this morning’s post from my per­spective as an oncologist

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FDA Reports on Association of Breast Implants and a Rare Form of Lymphoma

FDA breast warning

It’s a Pandora’s box, but one that needs be opened. The problem is that if we biopsy every abnor­mality – such as a minor thick­ening or fluid accu­mu­lation adjacent to a breast implant – we’ll hike up the costs and, more impor­tantly, the com­pli­ca­tions asso­ciated: With every needle stick there’s a risk of infection, addi­tional scar for­mation and more. On the other hand, you wouldn’t want to overlook a treatable, early-​​stage lym­phoma. Women need to know of the risks of implants, which can only be deter­mined if doctors thor­oughly inves­tigate these sorts of complications.

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Stem Cells, Breast Reconstruction and a Magazine Cover

Wired, November 2010 issue

The cover of the November print edition of Wired fea­tures large, unnatural-​​​​appearing cleavage. Inside and toward the back of the issue, a curious article ties together stem cells and the future of breast recon­struction. It got my attention.

Wired, November 2010 issue

The detailed and admit­tedly inter­esting piece, by Sharon Begley, describes what’s science or science fiction: first humans, such as some plastic sur­geons, remove adipose tissue, a.k.a. fat, by a well-​​​​established cos­metic surgery pro­cedure called lipo­suction, from a body part where there’s a fat surplus — such as the belly or backside; next, lab­o­ratory workers purify and grow what are said to be stem cells from that that fat; finally, they use a nifty, cal­i­brated and expensive device to inject those fatty stem cells where women want, such as in a hole or dimpled breast where a tumor’s been removed.

The story starts, unfor­tu­nately and dis­tract­ingly, with a

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New NY State Law on Information for Women Undergoing Mastectomy

The reality is that many women, par­tic­u­larly poor women without news­papers or internet access in their homes, don’t know about any of this. They don’t know their insurance covers pretty much all of these options, by law. Now they will, or should as of Jan 1, 2011. Good. The other curiosity is that …

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