0:01

Let's look at a few abnormal and abnormal implant appearance on the

0:05

imaging is patient on mammogram, ultrasound and the mri.

0:12

Look at the, uh, start. Let's start with question.

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Which statement about the mammography and the breast implant is true?

0:22

All right, let's see the answer over here.

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So the answer most of you choose, uh, number D that's reviewed together.

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The correct answer is, uh,

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d implant displayed reviews,

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miss part of the breast tissue and increased radiation dose.

0:41

So a c sphere recommend, um, uh, mammogram

0:48

and with, uh, imaging with implant displayed view. So for, uh,

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screening

0:56

here are the implant displayed view. So you can see that you can miss, uh,

1:00

some tissue around the, uh, breast implant, right?

1:03

But there is no recommendation on the, uh, supplemental screening for that.

1:11

So let me just show you example how cancer was missed. Um, the,

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uh, implant view by the detective with the, uh, implant displaced view.

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You can see that there's a cancer. You can see very well, um,

1:24

the implant displaced view, but you cannot see it on the, uh,

1:30

with implant view over here. And then,

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then later on we performed ultrasound.

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It was conformed invasive doctor carcinoma.

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So mammogram is the most common in, uh, most cost effective, uh,

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modalities to evaluate the breast.

1:49

It can detect the seline implant ruptures,

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and it's also very useful to detect the, uh,

1:55

extracapsular silicone rupture for the intracapsular silicone rupture.

2:00

Mammogram is not very sensitive.

2:02

This suggest to look at the example this is,

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this patient has a saline implant rupture on the right side,

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as you can see that, you know, the, uh, rupture,

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the saline just absorbed by the breast and then that they envelope the

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implant just, uh, shrinked and, uh, stayed over there.

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And this is the actual capsular safety rupture is no difficult for

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us to see this, uh,

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silicone get out of the implant envelope over here,

2:36

and over there you can see that this implant is quite old.

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There are lots of calcifications associated this, uh, uh,

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capsule over here. So that's the, uh, um,

2:50

implant. This patient had an implant rupture. The implant was removed.

2:55

You can see that the silicone implant is the silicone gel just

2:58

Stayed in the breast forever. If you try to remove that,

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you can see that the surgeon will cause a loss of, uh, deformity of this breast.

3:07

So lots of times they just let this stay over there. Sometimes it can also, uh,

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goes to this lymph.

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So don't be confused with that calcifications and recommend the biopsy of that.