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Breast Implants – How to Detect Ruptures?
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HOW TO DETECT SILICONE BREAST IMPLANT RUPTURE
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A breast implant rupture is a recognised complication of breast implants
and can be either intra or extra capsular
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An intra-capsular rupture occurs when the shell of the implant ruptures but
the fibrous capsule formed by the breast remains intact
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Silicone gel does not freely extravasate and this makes it difficult to detect on
clinical exam or mammography
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Intra-capsular rupture is best seen on an MRI
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An extra-capsular rupture can lead to a change in the implant contour and may
be detected on clinical examination,mammography or ultrasound
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An extra-capsular rupture implies intra-capsular rupture as well
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MAMMOGRAPHY OF THE BREAST
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The detection of implant ruptures (particularly silicone implant ruptures)
are very difficult on mammography
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And detection of intra-capsular silicone ruptures are almost
impossible on mammography
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ULTRASOUND OF BREAST
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Ultrasound may demonstrate a snowstorm appearance of an
extra-capsular rupture
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Or the stepladder sign of an intra-capsular rupture
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The overall sensitivity rates on ultrasound are thought to
range between 59-85%
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The cost for this is $198 and the Medicare rebate is approximately
half of this amount
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MRI is the most accurate imaging examination for the evaluation of silicone gel breast implant rupture
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Often MRI does not require contrast if the indication is solely
for this purpose
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MRI has a reported result of 76%-95% in the detection of rupture
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There is no Medicare rebate for MRI of the breast available at the present time and the cost for this is $490
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For more information please contact us on:
Tel: (07) 5509 4488Email: [email protected]