home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK01607}
- $Pretitle{}
- $Title{Breast Implants and Breast Cancer}
- $Subject{breast breasts implant implants cancer Neoplasms neoplasm special
- procedure procedures polyurethane foam silicone Surgitek Bristol-Myers Squibb
- cancers operation operations}
- $Volume{B-19, P-19}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Breast Implants and Breast Cancer
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: I am very concerned about my sister, who had breast surgery several
- years ago using breast implants. She is now almost crazy about the reports
- that this could cause breast cancer to develop and wants the implants removed
- at once. What information can you give me that will help me to talk with her
- and help her make the right decisions?
-
- ------------------------------------------------------------------------------
-
- ANSWER: The recent flood of reports in newspapers and on television about
- these breast implants has caused many women the same distress your sister is
- now suffering, and to my thinking is a shame. I am certainly for giving you
- all the information you need to make correct choices in medical care, but also
- believe that this advice must be based on substantial scientific evidence
- that helps bring us as close to the truth as possible. That is not the
- situation in this case. To start with, the reports were based on preliminary
- data in a Food and Drug Administration (FDA) study that was "leaked" to the
- press before even the FDA had a chance to examine the data completely. Just
- who leaked the data or why is unknown, but even the FDA believes that some of
- the reports in the media "may have overstated the risk of cancer to woman who
- have these implants". The source of the discussion is the polyurethane foam
- that is used as a coating for certain kinds of silicone gel-filled implants.
- It is possible that this material might break down into another substance that
- has been shown to cause cancer in laboratory animals. The key word here is
- "might", as well as the fact that there is no evidence of cancer ever having
- been linked to the implants in humans.
- Despite this, the manufacturer of the implants, Surgitek, a subsidiary of
- Bristol-Myers Squibb, voluntarily stopped shipment of the implants and advised
- doctors to delay any surgery using these devices. This responsible action
- will allow the FDA to complete its evaluation of the results of the study, and
- should publish its results in but a few weeks. In a statement released by
- Bristol-Myers Squibb, it said that "it is confident in the safety of the
- product and that it deplored the uncertainty created by the anonymous reports
- of research results".
- The FDA, in a TALK PAPER issued about this question, stated "While still
- assessing the data, FDA believes that the statistical values expressed in some
- media accounts may have overstated the risk of cancer to woman who have these
- implants". It also said, "It is unfortunate that preliminary FDA laboratory
- results reached the public before FDA's analysis of the data was complete.
- This has created an unnecessary climate of fear in patients who have been
- implanted with these products."
- In speaking with a spokesperson for the American Cancer Society, she too
- agreed that the sensationalism of press reports had been a disservice to the
- public and suggested the following advice. Patients with these breast
- implants in place should not seek surgery to remove them. This is not always
- a simple procedure and the risk of removal could outweigh the risk of keeping
- the implant. In fact there may be no risk for cancer at all, or possibly one
- that is very small. Women considering implant surgery should delay the
- operation until final analysis of the results of the FDA study.
- And that is my advice to you and your sister, as well as anyone else now
- facing this situation. Once again, it is clear that you must carefully
- analyze anything you learn from the media, and I am here to help you.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-