Breast Implant Pathology
Discuss breast implant pathology (explant pathology) with your surgeon, what you both feel is necessary and the costs.
If you have textured implants and symptoms of BIA-ALCL such as persistent swelling or pain in the vicinity of the breast implant, seroma, breast mass, capsular contracture and swollen lymph nodes consider testing for for BIA-ALCL using a CD-30 test. A CD-30 test will include your surgeon capturing fluid from inside your capsules if present and sending the fluid samples and representative pieces of your capsule to pathology to be tested for BIA-ALCL.
Aside from BIA-ALCL, regular breast implant pathology (explant pathology) tests generally include your capsules and implants being sent to a pathology lab where the state of your breast implants should be carefully documented (are they ruptured or leaking, are there any shell or patch defects) by the pathologist and your capsules examined for breast implant textures or silicone and if those are present documented. Then the pathologist will study the cells of your capsules noting the types of cells, cell characteristics and pathologies that can occur in capsule tissue. Pieces of your capsule may be cultured using sensitive broth cultures to see if any infections are present in your capsule which you may need treatment for. Bacterial infections are easier to culture than fungal infections which take much longer to grow out. We are documenting medical case reports and articles regarding the various infections and cancers that show up in capsule tissue on a public facebook page here: Scar Capsules Complication and Cancers
Your surgeon will order your breast implant pathology (explant pathology) and so you need to discuss the above with him and decide together which of these tests you want and what their cost is to you. Some of the tests may be expensive and even unnecessary depending on your circumstances and what your surgeon sees during your explant.
Whether you want your implants returned to you is up to you. You paid for them and legally they do belong to you. Surgeons seem to make up all sorts of reasons to avoid returning implants but the real reason they may not is because the manufacturers want their implants back so they can protect themselves from liability. If you are pursuing a legal case check with your attorney about how your implants should be handled in order to best serve your case.
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