Breast Implant Pathology

Discuss capsule and breast implant pathology with your surgeon because generally it is the surgeon who orders pathology tests and reports.  Discuss what you both feel is necessary and the costs to you.  Some of the tests may be expensive and even unnecessary depending on your circumstances and what your surgeon sees during your explant.  However, peace of mind may be more important to you and you may want to rule out infections and other serious diseases. 

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 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. Inquire about the cost of the CD-30 test as it can be expensive.

Regular capsule and breast implant pathology tests and reports generally include your capsules and implants being sent to a pathology lab where the state of your breast implants should be well documented (are they ruptured, leaking or bleeding silicone gel, are there any shell or patch defects) by the pathologist and your capsules examined for breast implant shell textures or shell particulate or silicone inside the capsule 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

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 excuses to avoid returning your implants to you but the real reason they may not is because the manufacturers want their implants back so they can protect themselves from liability and they encourage the surgeons to return explanted implants back to the manufacturers even rewarding them if they do so. 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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We look forward to your comments, feedback and personal stories about your symptoms due to breast implants. Please see the comment form below. Thank you.

This Post Has 9 Comments

  1. Mary Thriny Carrizo

    Hola me llamo Mary Thriny
    alguna de ustedes me puede decir si a tenido problemas por dermatitis en la areola del seno y una bacteria llamada Stafilococo aureus,… gracias
    y que ninguna medicina llega a resolver el problema total

  2. Cindy

    Are there any top rated explanations surgeon’s in Green Bay Fox Valley Wisconsin area ?

  3. Linda barbano

    The dr did not know it took a special test ordered by him, he was aware of our concerns of alcl and i thought he knew we had needed this testing done with the fluid from sergery but I was wrong. I asked after sergery and he said dont worry there pathology was the knowing
    He is the dr and he wrote ” linda has … what he called a severe capsular contracture on the left and on the right a rupture where a 9 mm. I was shocked when pathology said. There was no testing cd30 or other test but standard breast cancer testing. So I pushed and pushed for it. Finally a few days later they took a piece of my scar tissue. The noduel is still inside me growing. Please just tell me is it true cd138
    Is cd138 Multi myeloma yes or no please tell me because I’m hearing from some very well-known people that it is Multi myeloma my other doctor she does not know anything about that kind of stuff I just want somebody to tell me what the heck cd138 is because it certainly normal when you got nodules and even as ill as I’ve been please tell me the truth somebody out there please

  4. Debbie

    I had mastectomy in 2015 with textured expanders for almost a year then had smooth silicone implants under the muscle 2016. Explant in a couple of weeks but I want to make sure I get the correct labs. PS says he only sends pathology if he sees anything in the capsules. I would like to have the cd30, do you think it is needed or only if he sees fluid?

    1. Nicole

      Hi Debbie,
      It’s the fluid and representative pieces of the capsule that are used in the CD-30 test for BIA-ALCL so if there is no fluid, it may be difficult to test but I would ask your surgeon if it’s possible to test just from pieces of the capsule and then make the decision from there. The test is expensive so you want it to yield results either way.

  5. Kim

    My ps says the pathology testing will cost an additional $4-$7K. Is it necessary if I have few symptoms. I have 11 year Allergan Smooth saline 360 under muscle. No joint or muscle pain or other symptoms. Is this a needed expense in my case? I had a scale of 2 capsular contracture has reduced to a 1 in one breast.

    1. Nicole

      Hi Kim,
      Pathology should not cost $4 to $7K, that is outrageous. Which surgeon are you using that is quoting this much?

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