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May 5, 2004

Effects of Breast Augmentation on Accuracy of Mammography

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(17):2073. doi:10.1001/jama.291.17.2073-a

To the Editor: Dr Miglioretti and colleagues1 concluded that breast augmentation decreases the sensitivity but not the specificity of screening mammography. In the absence of information on implant type and placement (ie, subglandular or subpectoral) and prevalence of capsular contracture, however, it is difficult to know how to apply these results. For example, Silverstein et al2 reported that women with subglandular implants had a 49% mean decrease in measurable tissue area using compression mammography and a 39% mean decrease using displacement. Women with submuscular implants had a 28% decrease in measurable tissue with compression mammography as compared with a 9% decrease using displacement.