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The possible rupture of the implants and the subsequent risk of cancer probably has not been established scientifically. The usefulness of ultrasound guidance, however, annual
It ‘was the Liberation newspaper to publish the news first: the French health authorities are concerned about the risk of cancer in women who have breast implants PIP (Poly Implants Prostheses). Indeed, the French government spokesman, Valerie Pécresse, said “the urgency that all women who wear dentures Pip return to the surgeon.” What is the problem? These implants filled with silicone gel would be inconsistent with industry, would have a high risk of rupture resulting in inflammation and possibly cancer. Pip of the gel is different from that stated and evaluated to obtain the necessary certificate in the European Union.

For Italy, the potential risk associated with implants Pip is not new: In a circular dated 1 April 2010 the Ministry of Health has invited health care professionals not to use the implants removed earlier in France, giving the opportunity to report any incidents that had a possible relation of these implantation of a prosthesis. The Directive was implemented immediately and centers of excellence have put in place procedures to help safeguard the health of women: the European Institute of Oncology, for example, all women with implants Pip were contacted and invited to go to the same IEO free to perform breast ultrasound and a visit with the plastic surgeon. And similar procedure was followed in other hospitals.

Thousands of women would be in danger? It does not seem that way. The cause-effect relationship between Pip and the development of prosthetic breast cancer is not proven. Of 10 million or so different brands of breast implants implanted in the world have been described in rare cases of lymphoma originated from the capsule around the implant (saline or silicone): Total 75 cases with 4 deaths, unrelated to a specific manufacturer. The risk of breast cancer but has no practical demonstrations on large numbers.

As for the risk of rupture, it is true that Pip break more easily, but it must be said that all breast implants have some risk of failure because with time undergo wear. All women who have breast implants, however, already make a regular annual check with Breast ultrasound (or at least this should be the normal procedure recommended by all physicians).

Recommended the removal of breast implants. It extends the scandal on breast implants “defective”. The French government has recommended that thousands of women to remove breast implants manufactured with a silicone gel that does not meet health standards, used by the Poly Implant prothesè (Pip). The removal would be recommended as a precaution, as there have been higher than normal levels of failure (sometimes twice). Confirmed but no link with the possibility that these prostheses promoter of cancer.

In Italy up to 5 000 women would have a prosthetic Pip. The devices manufactured by the French, now closed, have been exported all over the world, including Italy (where the women involved could be up to 5 000). Approximately 30 000 women in France have a prosthesis Pip, 50 000 in Britain, but estimates that about 400 000 implants placed on the market. The Italian Minister of Health, Renato Balduzzi, explained that “there is no reason to create an alarmist, it is appropriate for patients who have had a prosthesis implanted Pip contattino your surgeon or the structure with the aim of making an assessment.” he has announced that any replanting will be reimbursed by the public, provided that there are specific indications. will be evaluated only cases of breast-related health problems, so reconstructions for breast cancer.

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