Understanding Cancer Risks Associated with Breast Implants

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is one of the more serious risks linked to breast implants. It’s a rare form of non-Hodgkin lymphoma. It is a cancer of the immune system. It is not a form of breast cancer. BIA-ALCL can form in the scar tissue and fluid surrounding the implants. It can develop years after an implant is placed. The risk of getting BIA-ALCL is low. But it’s important to be aware of it. Here are some things to consider:

• The type of implants you want or have can affect your risk . BIA-ALCL has been found with both silicone and saline implants. Using smooth implants has not been linked to a cancer risk. But some research shows that textured implants may increase your risk for BIA-ALCL. Discuss these risks with your healthcare team if you’re considering or already have textured implants.
• Watch for the symptoms of BIA-ALCL. These can include any abnormal changes in your breasts. Watch out for lasting swelling, pain, or lumps. You may also have breast enlargement, breast asymmetry, hardening, or a skin rash. If you have these symptoms, see your healthcare provider right away.
• Have regular checkups with your healthcare team . Work with your providers to keep yourself healthy. Regular screenings are vital in catching any cancerous cells early.

Some people with breast implants may develop other rare types of cancer, such as squamous cell carcinoma or other types of lymphoma that develop in the capsule around the breast implant. Ongoing research is needed to learn more about these types of cancer and their connection to breast implants.

People with breast implants should still get breast cancer screenings as advised by their provider. The advice will depend on what treatment you had, such as if you have had a mastectomy.

Your provider may advise that you have routine mammograms. Mammograms use X-rays to get a clear image of your breast tissue. But implants can make it harder for the provider to see the breast tissue.

Your healthcare team may also use other imaging tests. These can include:

• MRI
• Ultrasound
• Implant displacement views

In an implant displacement view, the technician pushes your implant back against the chest and pulls your breast tissue forward. This helps them get a better picture. This procedure may cause discomfort if you’ve developed any scar tissue.

If you already have breast implants, should you get them taken out to reduce your risk for cancer? It depends. The FDA doesn’t generally advise doing this if you don't have symptoms. But it comes down to what’s best for you. Work with your healthcare team to make this decision.

Whatever you decide, stay on top of your breast health. Getting regular checkups is key to staying healthy.

There are some steps you can take to lower your cancer risk. Here are a few:

• Read the label information of your implant. Every type of implant comes with information on its risks. These can help you come up with a plan to address them. If you need help finding this information, ask your provider.
• Talk with a surgeon. If you’re thinking about getting breast implants, talk with a surgeon about your expectations and fears. Being open with healthcare providers can be hard. But it’s important to be as honest as possible. This will help your surgery team come up with the best plan for you.
• Schedule regular screenings. Before you leave your healthcare team’s office after a screening, book the next one. You can also keep track of and plan your appointments with a calendar.

If you’re thinking about getting breast implants, talk with your healthcare team. They can help you make the best decision.