[Skip to Navigation]
Sign In
Views 526
Citations 0
Comment & Response
April 14, 2021

Implant Surface Texture and Breast Cancer Recurrence

Author Affiliations
  • 1Department of Breast Surgery, Hospital Nossa Senhora das Graças, Curitiba, Brazil
  • 2Department of Breast Surgery, Hospital Geral de Fortaleza, Fortaleza, Brazil
  • 3Department of Breast Surgery, Memorial Sloan Kettering Cancer Center, New York, New York
JAMA Surg. 2021;156(7):689. doi:10.1001/jamasurg.2021.0688

To the Editor We read with great interest the study “Association of the Implant Surface Texture Used in Reconstruction With Breast Cancer Recurrence.”1 This is a retrospective cohort study from a single institution in South Korea. The authors compared local and regional recurrence-free survival and disease-free survival rates among patients with smooth and textured implant after reconstruction, finding worse disease-free survival in the textured implant group. It was hypothesized that a chronic inflammatory process could explain the results, just as it happens in breast implant–associated anaplastic large cell lymphoma.2,3 This observation is novel and provocative, but we have some questions on the methodology and possible biases.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words