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Invited Commentary
October 7, 2020

Is It Time to Abandon Textured Breast Implants for Breast Cancer Reconstruction?

Author Affiliations
  • 1Section of Surgical Oncology, Boston University School of Medicine, Boston, Massachusetts
  • 2Division of Plastic and Reconstructive Surgery, Boston University School of Medicine, Boston, Massachusetts
JAMA Surg. Published online October 7, 2020. doi:10.1001/jamasurg.2020.4141

All women with breast cancer who require or choose mastectomy should have equitable access to safe breast reconstruction as an essential component of comprehensive care. Although textured breast implants have received substantial scrutiny since a description of their association with anaplastic large cell lymphoma (ALCL),1 their implication for breast cancer outcomes has not been reported to date. The novel observation by Lee and colleagues2 in this issue of JAMA Surgery warns that textured implants may confer an increased risk of breast cancer recurrence compared with smooth implants. Larger, multi-institutional analysis is critical to confirming the findings, but the preliminary data presented in the study by Lee et al2 are both alarming and intriguing.

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