A shocking diagnosis: Breast Implants & Gave Me Cancer & # 39;The Food and Drug Administration first reported a link between the implants and the disease in 2011, and information was added to the labeling of the products. But the added warnings are deeply embedded in a dense list of complications and no implants were recalled. The F.D.A. Advise women "to follow the steps recommended by their doctor to monitor their breast implants," a spokeswoman said in an email this month.
Until recently, many doctors had never heard of the disease and little was known about women who suddenly received the shocking diagnosis of cancer caused by implants.
An F.D.A. Update in March that associated nine deaths to implants has raised awareness. The agency had received 359 reports of lymphoma associated with the implant from around the world, although the current record of cases is unknown because the F.D.A surveillance system. Is based on voluntary reports from doctors or patients. The number is expected to increase as more doctors and pathologists recognize the link between implants and disease.
Women who have had lymphoma say that attention is long overdue, that too few women have been informed of the risk and that those with symptoms are often faced with delays And mistakes in diagnosis, and difficulties in receiving appropriate care. Some have become seriously ill.
Implants have become increasingly popular. From 2000 to 2016, the number of breast increases in the United States increased by 37%, and reconstructions after mastectomy increased by 39%. Each year, nearly 400,000 women in the United States get breast implants, about 300,000 for cosmetic enlargement and about 100,000 for reconstruction after cancer, according to the American Society of Plastic Surgeons. Allergan and Mentor are the leading manufacturers. Around the world, about 1.4 million women have had implants in 2015.
Until 2015, only about 30 percent of plastic surgeons systematically discussed cancer with patients, according to Dr. Mark W. Clemens II, a plastic surgeon and an expert on the disease At the University of Texas MD Anderson Cancer Center in Houston.
"I would like to think that since we have made progress on this," said Dr. Clemens.
At the end of last year, an alliance of cancer centers, the National Comprehensive Cancer Network, issued Guidelines for Treatment. Experts agree that the first essential step is to eliminate the implant and the entire capsule of scar tissue that surrounds it. Otherwise, the disease is likely to recur and the prognosis to become worse.
Not all women were able to get the recommended treatment. Kimra Rogers, 50, a nursing assistant in Caldwell, Idaho, learned last May that she had a lymphoma, from textured implants that she had for over 10 years. But instead of immediately removing the implants and capsules, his doctor prescribed six cycles of chemotherapy and 25 cycles of radiation. A year later, she still has the implants.
"Unfortunately, my doctor did not know the first line of defense," Rogers said.
She learned the importance of having implants removed only from other women in a Facebook group for those with the disease.
Her health insurer, Blue Cross Blue Shield of Montana, covered chemotherapy and radiation but refused to pay for the elimination of the implants and told her that her rights of appeal were " exhausted ". In a statement sent to the New York Times, a spokesperson said: "Cosmetic breast implants are contractual exclusion, as are services related to complications of cosmetic breast implants, including elimination and reconstruction of implants .
Doctors dispute this reasoning, saying that surgery is necessary to treat cancer. His lawyer, Graham Newman of Columbia, SC, said he planned a lawsuit against the implant manufacturers and had about 20 other breast cancer patients from Australia, Canada, England and the United States.
Mrs. Rogers could not work for a year. If she has to pay to remove the implants, this will involve withdrawing a loan of $ 12,000.
"But it's worth it," she said.
Insurers generally cover implants after a mastectomy, but not for cosmetic enlargement, which costs $ 7,500 or more. Repeated operations for complications are also common and usually cost more than the original surgery.
Diagnosis and treatment
Most cancers have developed from two to 28 years after implant surgery, with a median of eight years. A large majority took place with textured implants.
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