Author Archives: BIeditor

Cancer of the Immune System (ALCL) and Breast Implants: Plastic Surgeons Study 173 Women

Diana Zuckerman, PhD, National Center for Health Research

In 2015, plastic surgeons who have been well known for defending the safety of breast implants published a study of 173 women with cancer of the immune system caused by breast implants. [1] The study was paid for by a plastic surgery medical association and written by plastic surgeons who have defended the safety of breast implants for decades.

ALCL (Anaplastic Large Cell Lymphoma) develops near a breast implant but is not breast cancer – it is a cancer of the immune system. The authors of this study point out that the first silicone breast implant was implanted in 1962 and the first publicly reported case of ALCL in a woman with silicone breast implants was in 1997. The authors reviewed 37 medical articles reporting on 79 patients and collected information about an additional 94 women with ALCL caused by breast implants.

Results

Physicians first identified these 173 women with ALCL based on either seromas (a collection of fluid under the skin), a mass attached to the scar capsule surrounding the implant, a tumor that eroded through the skin, in a lymph node near the breast, or discovered during surgery to replace a breast implant. Whether the women had silicone gel or saline breast implants didn’t seem to make a difference, but many of the women had at least one textured breast implant.  Cosmetic augmentation patients and women who had breast implants to reconstruct their breasts after undergoing a mastectomy were both at risk of developing ALCL because of their implants. Of the women whose ALCL spread outside of their scar capsule surrounding the implant, about half died from ALCL.

The authors pointed out that ALCL can be difficult to diagnose. Although the fluid and scar capsule usually appear abnormal, they sometimes look normal. The authors recommend “that all fluid and capsule tissue from patients with seromas” should be tested for ALCL. They point out that if the tumor is inside the capsule, removing both implants and the capsules may be the only treatment necessary. However, if the tumor has developed just outside the capsule, chemotherapy with or without radiation is needed and usually effective. Unfortunately, aggressive ALCL that has spread beyond the scar capsule area is usually fatal, regardless of treatment.

[1] Brody GSDeapen DTaylor CRPinter-Brown LHouse-Lightner SRAndersen JSCarlson GLechner MGEpstein AL. Anaplastic Large Cell Lymphoma Occurring in Women with Breast Implants: Analysis of 173 Cases. Plastic and Reconstructive Surgery. Vol 135: 695, 2015.

The official summary of the above citation is here: http://www.ncbi.nlm.nih.gov/pubmed/25490535

To read about another study on ALCL, click here.

To read more about what you need to know about ALCL, click here.

2017 Update

In March 2017, the U.S. Food and Drug Administration (FDA) reported that it had received 359 reports of ALCL among women with breast implants. Unfortunately, many cases of ALCL are not reported to the FDA.  The FDA’s announcement came after the World Health Organization (WHO) officially recognized “breast implant associated ALCL (BIA-ALCL)” in 2016. In 2014, the National Comprehensive Cancer Network (NCCN) has also released a worldwide oncology standard for surgeons and oncologists to test for and diagnose the disease.

Tammi H.

I was born with a congenital defect of small, tuberous breasts.  In 2004, when I was 32 years old, I made a decision to get saline breast implants.  I  had always been self-conscious of the way I looked, especially in swimwear, since I was a teen.

The breast implants did wonders for my self-esteem and made me feel that my breasts were more normal.  I was told that it was advisable to get them removed in 8-10 years, if I was experiencing any problems, but that some women are able to keep them for a life-time.

Fast forward 3 years and I am pregnant with my third child  (only pregnancy with implants) and I had so many issues with my pregnancy….morning
sickness all day long for 4 months straight, issues with urinary retention that my doctors could not explain.  After having my child and feeling like I just couldn’t bounce back with my energy level, I had a physical.  I was told I had an enlarged thyroid and might have rheumatoid arthritis.  I was sent to an endocrinologist and a rheumatologist.  They told me I had Hashimoto’s and possibly the beginnings of arthritis.  After several years of being on thyroid meds with no improvement, I took myself off.  By that time, my hair was falling out, I was low in iron, I had no energy, I had strange rashes on my scalp and neck, I was gaining weight, I was freezing cold all the time, my vision got worse, and I had trouble concentrating (brain fog).

In 2013, I began having severe cramp-like sharp pains under my left breast that would literally take my breath away.  Two different doctors told me it was probably just scar tissue from my surgery.  I really just gave up trying to figure out what was wrong with me.
In 2016, one week after a mammogram, I began having severe pain in my right jaw and right side of neck.  I went to the chiropractor for 3 months, who could not help me but suggested I might have TMJ (jaw joint) disorder.  I also went to an orthodontist, who confirmed that I did not have TMJ.  I saw an article on Facebook about Hugh Hefner’s wife having implants removed because they were causing health issues and she referenced a Facebook group she had joined about Breast Implant Illness.  I wondered if the mammogram had caused a leak in my implants.  I immediately checked out the Facebook page and had a light bulb moment — literally thousands of women were experiencing the same exact symptoms as myself!  I spent the next 3 months having consultations and getting my insurance to approve this surgery, which was pretty easy once I was diagnosed with Grade III capsular contracture and severe pain which was documented on my medical record by 2 doctors.  Insurance did deny covering implant removal the first time, but with the encouragement of the National Center for Health Research, I tried again– my surgeon appealed for me and coverage was approved the second time.

I am pleased to report that 3 weeks post-surgery, 90% of neck and jaw pain is gone, my hair has stopped falling out, I’ve lost 10 lbs without trying, and the brain fog is almost gone.  The surgeon told me that the pain I was having was where the capsule had become adhered to my chest wall.  I am still having a lot of soreness/pain in the area he had to cut and scrape more.  But getting my implants removed was the best decision I ever made.  My worst decision was getting them in the first place.  My body apparently has been fighting these foreign objects for at least 10 of the 12 years that I had them, causing a major autoimmune response.

Can having breast implants lead to suicide? 7 On Your Side investigates

Kimberly Suiters, ABC7

November 7, 2016

Three-hundred thousand women will get breast implants this year, making it the number one cosmetic surgery in the U.S. Research shows the typical breast implant patient has high self-esteem and good mental health, higher and better than the general population. According to implant manufacturers, satisfaction rates top the 83-97 percentile range, excellent results for any kind of surgery. So why would some women with breast implants have a higher rate of suicide than women who don’t have them?

“Maybe just a coincidence,” Dr. Scott Spear, a well-known plastic surgeon in Washington, D.C., told 7 On Your Side. “There may be an association between breast implants and suicide, but it’s probably a loose association.”

That’s not the way Diana Zuckerman, PhD, president of the National Research Center for Women and Families, sees it. Not at all.

“When you look at suicide and implants, the women with breast implants are more likely to kill themselves.”

How much more likely? Anywhere from two to 12 times. Zuckerman wrote about that conclusion after evaluating seven studies on the topic.

“Some surgeons believe if a woman with implants kills herself, she must’ve had something wrong to begin with; that she got implants because of low self-esteem, depression, to feel better. But women with implants are more likely to kill themselves than with other (plastic) surgeries. Why would a mastectomy patient be 10 times as likely to kill herself as a mastectomy patient who doesn’t have implants?”

Zuckerman doesn’t know that answer definitively, but she is convinced there is something physiological or mental that causes women with implants to have a diminished view of themselves.

The number of women who get to that tragic point is small. According to the CDC: 9.8 women per 100,000 will commit suicide. And middle-aged women, in general, had the largest increase in suicide in the last 15 years, up 63 percent.

Dr. Zuckerman said women going through menopause are one of the highest risk groups. Their bodies have changed after giving birth, and they may be lured in by “Mommy Makeover” marketing.

“But according to research,” she said, “it’s a bad time. A dangerous time.”

Dr. Spear shakes his head. “By no stretch would I believe that women with implants are suicidal. In fact, it’s the opposite.”

“Do you think these studies are even worth mentioning to your patients?” asked 7 On Your Side.

“No, I don’t, to be honest. This is far off the radar screen. There are so many other issues. This is a very fringy issue.”

However, in 2007, Dr. Spear co-authored an article titled, “What Do Women Need to Know and When do They Need to Know It?”, which stated: “Physicians need to be alert to the documented increased risk of suicide among women with breast implants, which was statistically significant in several large studies.”

Read the full article here.

Amid flurry of new cancer drugs, how many offer real benefits?

Liz Szabo, Kaiser Health News

Marlene McCarthy’s breast cancer has grown relentlessly over the past seven years, spreading painfully through her bones and making it impossible to walk without a cane.

Although the 73-year-old knows there’s no cure for her disease, she wants researchers to do better. It’s been years, she said, since she has found a drug that has actually helped. McCarthy said she’s frustrated that the Food and Drug Administration is approving cancer drugs without proof that they cure patients or help them live longer.

Pushed by patient advocates who want earlier access to medications, the Food and Drug Administration has approved a flurry of oncology drugs in recent years, giving some people with cancer a renewed sense of hope and an array of expensive new options. A few of these drugs have been clear home runs, allowing patients with limited life expectancies to live for years.

Many more drugs, however, have offered patients only marginal benefits, with no evidence that they improve survival or quality of life, said Dr. Vinay Prasad, assistant professor of medicine at the Oregon Health and Sciences University, who has written extensively about the FDA’s approval process for cancer drugs.

Overall cancer survival has barely changed over the past decade. The 72 cancer therapies approved from 2002 to 2014 gave patients only 2.1 more months of life than older drugs, according to a study in JAMA Otolaryngology-Head & Neck Surgery.
And those are the successes.
Two-thirds of cancer drugs approved in the past two years have no evidence showing that they extend survival at all, Prasad said.
The result: For every cancer patient who wins the lottery, there are many others who get little to no benefit from the latest drugs.
 
In a November study published in JAMA Internal Medicine, researcher Diana Zuckerman looked at 18 approved cancer drugs that didn’t help patients live longer. Only one had clear data showing that it improved patients’ lives, such as by relieving pain or fatigue.
Two drugs harmed quality of life. For example, thyroid cancer patients taking the most expensive drug, cabozantinib, scored worse on a scale measuring five symptoms: diarrhea, fatigue, sleep disturbance, distress, and difficult remembering, Zuckerman said.
“We cannot have a system where drugs that may not even work are being sold for these amazingly crazy amounts of money,” said Zuckerman, president of the National Center for Health Research, a nonprofit in Washington that aims to explain research to consumers.
Recognizing the slow pace of progress, the American Society of Clinical Oncology has set goals for new cancer drugs of extending life or controlling tumors for at least 2.5 months. The bar was set relatively low because “it’s not very often that we come across a transformative treatment,” said Dr. Sham Mailankody, an assistant attending physician and myeloma specialist at Memorial Sloan Kettering.
Yet in a study published in September in JAMA Oncology, Mailankody found that only one in five cancer drugs approved from 2014 to 2016 met those standards.

The FDA wants to give patients the chance to benefit as soon as possible, rather than waiting for definitive proof of improved survival, Pazdur said. In some cases, the FDA requires pharmaceutical companies to perform long-term studies after drugs are approved, to measure whether drugs live up to their early promise.

But many of these studies never provide an answer, Zuckerman said. Once a drug is approved and is available to anyone, patients have no incentive to participate in a clinical trial. So studies can end with no clear conclusion.

Unless the FDA requires companies to provide survival data before approving a drug, “we may never have answers,” Zuckerman said. “We will have all of these expensive drugs on the market and we will never have the information we need about how well they work or even how safe they are.”

President Donald Trump has vowed to cut regulations at the FDA and recently told pharmaceutical industry leaders that he wants to further speed up the drug approval process.

Read the entire article here.

Can breast implants cause cancer? WJLA investigates

“You have cancer — again.”

“What? Breast cancer?”

“No … a new one.”

So went the conversation between a stunned 40-year-old Raylene Hollrah and the plastic surgeon who performed her reconstructive surgery after she survived breast cancer seven years earlier.

Her new cancer diagnosis? Breast Implant-Associated Anaplastic Large Cell Lymphoma, or BIA-ALCL for short. Of all the potential side effects of breast implants, she did not recall her surgeon ever mentioning a small but increased risk of cancer.

“I did everything to keep cancer away,” Hollrah told 7 On Your Side. “Yet, I put a device in my body that caused cancer.”

The US Food and Drug Administration is not prepared to say that the textured breast implants Hollrah chose cause lymphoma, a cancer of the immune system.

But in 2011 and again in 2016, the FDA cautioned of a “possible association” between ALCL and implants.

“This has created a certain amount of anxiety and concern among the medical community,” said Dr. Mark Clemens of MD Anderson Cancer Center, one of the leading experts on ALCL in the world.

Clemens met Hollrah after her diagnosis, explanted her implants and asked her questions about what she was told and when. His research, and others of patients and surgeons, reveals that patients never think to ask about ALCL and only one-quarter of surgeons always discuss the risk with patients in the initial consultation.

“We would like surgeons to always discuss the small, rare, but potential risk of this serious disease,” said Clemens, who serves on the board of the American Society of Plastic Surgeons (ASPS) as the liaison to the FDA. ASPS urges its board-certified members to always talk to patients about the risks as part of the informed consent process.

When 7 On Your Side filed a Freedom of Information Request (FOIA) about ALCL cases reported to the FDA, we received more than 800 documents representing 441 cases, more than one-third unconfirmed, and at least 12 deaths. Even since the 2011 advisory from the FDA about ALCL and implants, when manufacturers responded to reported adverse events, they often listed many risks but didn’t include ALCL.

“They should. Absolutely,” said Madris Tomes, CEO of Device Events, and a former FDA analyst who managed the build of a new adverse event reporting system. Tomes looks for patterns of problems with medical devices, but spotty reporting makes pinning down exact numbers for ALCL tricky.

Whether silicone or saline, Song explained why patients choose textured implants. They have a more natural, teardrop look, thinner at the top, thicker at the bottom. Texturing is intended to keep them from rotating. Researchers are evaluating whether that texturing, or a bacteria, or genetics make a patient more vulnerable to developing lymphoma.

THE ANALYST: “We don’t know how common it is.”

7 On Your Side spoke with a leader in the field of women’s health, Diana Zuckerman, PhD, President of the National Center for Health Research. Zuckerman was our chief source for information about the risk of suicide after implants. Regarding BIA-ALCL, she wrote:

“It is not true that textured implants are the only ones associated with BIA-ALCL. This summary of a recent medical journal article clearly says that “most women with ALCL have at least one textured implant” but that doesn’t mean they all do.

Read the entire article here.

The above article was published in February 2017. In August 2014, the National Comprehensive Cancer Network (NCCN), a nonprofit alliance of leading cancer centers, provided guidelines for the diagnosis of “breast implant associated ALCL (BIA-ALCL), based on clear evidence that breast implants can cause ALCL.  In 2017, the World Health Organization (WHO) and the Food and Drug Administration (FDA) both issued statements confirming that breast implants can cause ALCL.  To read about the FDA’s 2017 report on breast implants and ALCL, click here (insert hyperlink to http://www.breastimplantinfo.org/implantalcl/)

After Mastectomies, an Unexpected Blow: Numb New Breasts

Roni Caryn Rabin, The New York Times

After learning she had a high genetic risk for breast cancer, Dane’e McCree, like a growing number of women, decided to have her breasts removed. Her doctor assured her that reconstructive surgery would spare her nipples and leave her with natural-looking breasts.

It did. But while Ms. McCree’s rebuilt chest may resemble natural breasts, it is now completely numb. Her nipples lack any feeling. She cannot sense the slightest touch of her breasts, perceive warmth or cold, feel an itch if she has a rash or pain if she bangs into a door.

And no one warned her.

“I can’t even feel it when my kids hug me,” said Ms. McCree, 31, a store manager in Grand Junction, Colo., who is raising two daughters on her own.

Plastic surgeons performed more than 106,000 breast reconstructions in 2015, up 35 percent from 2000. And they have embraced cutting-edge techniques to improve the appearance of reconstructed breasts and give them a more natural “look and feel” — using a woman’s belly fat to create the new breast, sparing the nipple, minimizing scarring with creative incisions and offering enhancements like larger, firmer lifted breasts.

Read the rest of the article here.

Congress Passes Bill with Billions for Cancer Research

By Teresa Carr, Consumer Reports

December 7, 2016

Congress has passed the most expensive and far-reaching health reform bill since the Affordable Care Act in 2010.

The 21st Century Cures Act, which garnered widespread, bipartisan support in both the House and Senate, is expected to be signed into law by President Obama soon.

The bill signifies an investment of billions of dollars over the next decade to fight cancer, prevent and treat brain disorders, and harness enormous amounts of data to develop individualized treatments based on a person’s environment, genes, and lifestyle.

But the bill also lowers the bar for the kind of scientific evidence that companies must provide to gain the Food and Drug Administration’s (FDA) approval for their products. It would mean, for instance, that in some circumstances the FDA could rely in part on individual patient experiences with a drug or device, instead of evidence from large-scale, randomized controlled clinical trials.

[…]

Faster Drug Approvals, But Lower Standards

The Cures Act loosens requirements for how drugs are studied and approved that have been in place since 1962.

Here’s how it usually works: A company submits evidence from studies done under controlled conditions, comparing patients who received the treatment with those who didn’t. The studies typically have to show that people who were given the new drug lived longer or felt better than those who didn’t get it.

This kind of research can be expensive and time-consuming for drug companies to collect, says Diana Zuckerman, Ph.D., president of the National Center for Health Research, a nonprofit think tank focused on health research. Cancer drugs, for example, can take several years to show that a drug improves survival.

The Cures Act calls on the FDA to approve some drugs more quickly, based on less thorough testing. The problem with this, says Zuckerman, is that “getting drugs to market faster doesn’t help consumers at all if they turn out not to work or causes them harm.”

To read the full article click here

Jamee Cook

unnamed   In 1998, I made a decision that changed my life forever: to get breast implants. It wasn’t anyone’s decision but mine. I was a confident young woman, but I guess felt like my femininity was lacking due to my AA breasts. Hindsight sure changes our perspectives, though.

    My Dallas plastic surgeon chose textured, saline implants above the muscle. The surgery went great and it was definitely a confidence booster for me. I liked the way that they looked.

    My husband and I had our first son in 2000. I had some difficulty breastfeeding. Shortly after birth, I noticed that my breasts looked weird. After some research, I realized that I had developed symmastia. This is sometimes referred to as “breadloafing” or “uniboob”. So, I went back to my original surgeon. He wasn’t concerned, saying that my breasts look similar to his wife’s. This wasn’t reassuring. I consulted with another Dallas plastic surgeon. He said that surgery to fix the problem would cost $7500.  I knew that would have to wait.

    In early 2002, I was diagnosed with hypothyroidism and given medication. I then became pregnant with our second son. I again had difficulty breastfeeding. He was healthy when he was born, but two weeks later he was hospitalized, endured a spinal tap, developed hypoxia (lack of oxygen), and failure to thrive. He was hospitalized several times during his first few years and diagnosed with immune dysfunction. If weird things could develop, it would happen to him.

    Over the next few years, my health declined. I began to develop fatigue, swollen lymph nodes, and a low grade fever. I was employed as a paramedic in an emergency room so I attributed my symptoms to job exposure. I knew that I didn’t feel good but I didn’t really know what was going on. Most lab tests were normal. I was treated for chronic sinus infections. My anxiety worsened and brain fog began. My home life suffered because I couldn’t keep things organized. It was a big mess. I was eventually diagnosed with ADD and treated for that and depression.

    I left my ER job to work at a pediatric clinic.  I was still sick. I had surgery in 2009 surgery to try and correct my sinus problems, but they continued.  In 2010, I began to have very painful nodules in my neck and chest. I was diagnosed with Hashimoto’s Thyroiditis, an autoimmune disease. I also was diagnosed with CMV (Cytomegalovirus) and Chronic EBV (Epstein-Barr). They are both very common but my body just didn’t seem to fight them off. The combination of chronic viruses and autoimmune illness resulted in a diagnosis of Chronic Fatigue Syndrome.

    I quit my job.  At some point we could no longer afford insurance so I couldn’t even try to solve my medical problems.  My fatigue was ridiculous. I was way too young to feel the way that I did.

Over time, the implants decreased in size. In March of 2012, I woke up to find that my left implant had ruptured. I was completely distraught and embarrassed, but we weren’t in any financial shape to have them replaced.  For three years I made my breasts look even by inserting a silicone insert into my bra. The implant slowly leaked more and more. My husband said it didn’t bother him but it was very awkward for me. I couldn’t act appealing when I didn’t feel that way. Intimacy suffered. It was horrible to know that I was causing that much distress to my husband and marriage but didn’t have an answer to fix it.

        As a former paramedic, I looked for answers in medical journals and scientific publications and realized that my implants could be making me sick. I found a Dallas Explant surgeon, Dr. Edward Melmed, who no longer performs breast augmentation surgeries because he has seen too many sick women. He has now performed approximately 5,000 breast implant removal surgeries. He would eventually be the surgeon to remove my toxic bags.

    While saving money for explant, my life was chaotic. I couldn’t think straight or keep organized. My patience was very thin. My family life suffered. It took everything in my power just to get up and perform basic duties. My body felt like it was in a constant battle with itself. I needed to see specialists but didn’t have insurance and I couldn’t afford it. I felt like a complete failure. I had failed myself and my family.

    In August of 2015, Dr. Melmed removed my 17-year-old PIP implants and my capsules. It was a new beginning.

    I never tell any woman that all of their symptoms are from their implants. They most likely aren’t. I never tell any woman that explant is the answer to all of their problems. It isn’t. But, many of my unexplained symptoms went away immediately. The migraines, the low grade fever, the swollen lymph nodes, the arm and hand numbness, the brain fog – GONE. The burning sensation in my left breast after rupture – GONE. I still have viral illness I battle. I still have autoimmune Hashimoto’s. My health overall has greatly improved, though. My patience is better. My libido is better. The fatigue is still a battle but it is improved. I am able to interact with my children more. I was able to care for my papaw in the last year of his life.

And, I became an advocate.

  • I started a public Facebook group called Pursuing Explantation. This is where I first shared my journey and where I now share all of the publications I come across. It has videos and photos that the public can view.
  • I’ve joined forces with two fantastic women who have been diagnosed with breast implant-associated lymphoma (ALCL), and created a Facebook group for women to learn more about it. We work closely with Dr. Suzanne Turner, pathologist at the University of Cambridge, and with Dr. Mark Clemens, at MD Anderson in Houston. They have both been extremely helpful in helping us to advocate and to educate ourselves and the public on this rare disease.
  • I’ve joined with several other women to create an informal group called Breast Implant Victim Advocacy. We have joined forces with device victims, such as women harmed by Essure, to raise awareness about the larger picture. People are being harmed by medical devices because they aren’t help to the same safety standards as other medical products.
  • I’m a member of the new USA Patient Network and working with Consumer Union’s Safe Patient Project, to help raise awareness and to be a stronger advocate for safer medical products.

The same stories have been told by women with breast implants for more than two decades and their voices are not being heard. Many women have led the way for us. Social media helps today’s women combine their efforts to raise awareness. We need to be heard. Laws need to change. Surgeons and physicians need more awareness and more accountability. Patients need to be taken more seriously. The media needs to publicize these issues more. Momentum is building. Please help share our stories. If you are a victim and haven’t told your story, please do. Every story makes an impact.

Raylene Hollrah – I HAVE SOMETHING TO GET OFF MY CHEST…

I am Raylene Hollrah, a 2-time cancer survivor by the age of 40. Here is my story.

In March 2013, I was living a wonderrayleneful life.  I was the mother of a beautiful three- year-old little girl named Allyson.  I was a loving wife, a successful business owner, and I was heavily involved in my community.   I had no idea my life as I knew it was about to drastically change.

I was at an appointment to start the fertility process again for another child, when my OB/GYN suggested doing a clinical breast exam.  My doctor felt a lump during the exam and ordered a mammogram immediately, followed by ultrasound. Then a breast surgeon did a biopsy.   When I saw the look in my surgeon’s eye and her demeanor changed, I knew that I had been dealt the card of breast cancer.

I was 33-years-old and no family history of cancer. On April 20, 2007 I chose to undergo a bilateral mastectomy without reconstruction, followed by a summer full of chemo. I lost all my hair, I lost my chest, but I never lost faith. My oncology group was incredible and my medical team was amazing. They were there to take care of me physically and mentally. My 3-year old daughter used to tell me, “Mommy, please take off your hair and show everybody your beautiful bald head.”  My amazing husband knew just what to tell me and has been an inspiration ever since. He took one look at my chest and said, “The only thing I see missing … is cancer.”

Reconstruction was constantly on my mind — I was 34- years-old and I had lost my female identity.  I went to 3 plastic surgeons trying to find answers, trying to find out if I wanted to move forward and what my options were. All 3 doctors agreed that implants would be the way to go.  I chose Allergan cohesive silicone implants, I was also part of a study to follow patients that received those implants for 3 years.  In 2008 I started my reconstruction journey.

I had been doing everything to keep cancer away, I didn’t realize my next decision would lead to my next diagnosis.

The next several years went smoothly. Jayson and I welcomed Ryan, our next child, into our lives. Ryan had lost his mother to cancer when he was 5 and around age 12 was informed that his step-father had cancer as well. He had been moved into foster care, but we officially became guardians in 2012.

Life stayed normal for a while, but one day I noticed that one of my implants was slightly swollen. As the days went by, it became exponentially worse.  My chest tripled in size in 4 days.  After a CT scan at my local hospital I was advised to go to my plastic surgeon’s office immediately. After testing and draining, he assured me that I did not have cancer but suggested that my right implant needed to be removed and replaced.

On my 40th birthday I underwent an implant exchange. My plastic surgeon told me while in surgery he have a pathologist check for breast cancer and a very rare lymphoma.  I wasn’t worried since the previous test had said I was fine.

On June 21st, 2013 my plastic surgeon told me I had Anaplastic Large Cell Lymphoma, ALCL. I was the 25th documented case in the US and 61st in the world.

The days following were a blur, an immediate trip to Houston, TX to MD Anderson Cancer Center. Because of the rarity at the time of this diagnosis they were one of the leading hospitals with knowledge of this rare cancer.

The next 5 months of my life were mainly spent in Houston.  The first line of treatment was the complete removal of the implants and second bi-lateral mastectomy. It was to be followed by CHOP chemotherapy and then radiation, but when they realized that the cancer was contained in the scar tissue and capsule, they said there was no need for additional treatment.

For the past 3 years I have been traveling to Houston for cancer scans. My health has been good.

When I was diagnosed with breast implant associated ALCL, I was told the condition happened to 1 in 3,000,000 women, but it soon became clear from talking to my medical team at MD Anderson that this disease was being under diagnosed. Just three years later, they are saying the odds are 1 in 30,000.

I have started a non-for profit organization, Just Call Me Ray, to educate women about the importance of the early detection of breast cancer, the dangers of implants, and rising up when cancer happens. I have also traveled around the U.S. and spoken to different groups about the need for informed consent with breast reconstruction or augmentation. Our social media has exploded in the past year, with thousands of women that have been struggling with illness because of their implants. And my biggest concern is the growing number of women that have been diagnosed with BIA-ALCL.

I might have lost my chest, but I have not lost my voice. I will continue to share my story and educate women and the public. IMPLANTS DO CAUSE CANCER!

Follow me on
Twitter:  @biaalcl_Raylene
Facebook:  Just Call Me Ray
Email:  justcallmerayinfo@gmail.com

Chandra DeAlessandro

My name is Chandra DeAlessandro. My 27-year struggle with “Last a Lifetime” implants has been a long journey. It started in 1989, when I was pressured into implants because of my profession. I believed that I would work more as an actress, stuntwoman and fitness clinician if I got implants. (I am a member of the Stuntwomen’s Association of Motion Pictures, Screen Actors Guild, and a 2nd degree black belt. I have numerous film, TV and commercial credits as well as fitness videos.)

chandra

My first breast augmentation involved a polyurethane textured implant called the Meme (made by Surgitek/Bristol-Myers Squibb) which was banned within months of my surgery. Shortly after surgery, my lymph nodes were swollen and tender all the time. I had to have a tonsillectomy, and antibiotics for reoccurring infections in my breast and lymph nodes. I was diagnosed with an autoimmune disease and later developed a very painful Baker IV capsular contracture. Without social media and internet, I really could not get the information I needed – and my plastic surgeon did not notify me when the Meme implants were banned because research showed that the polyurethane used had not been designed to be in the human body, and broke down in the body to a chemical called 2-toluene (TDA), which is known to cause cancer.

In 2000, due to the capsular contracture, I had a capsuletomy (the implants and capsule removed) and replaced the implants. To ease my worries, I was told by my California surgeon that I could get silicone breast implants again if I agreed to participate in a 10-year “Core Study.” He told me that he and the implant company McGhan would closely monitor my health. Again, he did not inform me of any risks. As soon as the surgery was over, I was never contacted to be part of the study. If I had, the following 16 years of pain and suffering could have been avoided.

Instead, my health declined. I had 6 surgeries because of the implants, including a hysterectomy. My mind and body was screaming “IMPLANTS” as Doctors would tell me “NO WAY” – assuring me they are safe and FDA approved. The list of my symptoms was long and complicated: hormonal imbalances, depression, Hashimoto’s, Sjogren’s, adrenal fatigue, mystery rashes, brain fog, chronic fatigue, fibromyalgia, connective tissue disorder, digestive issues, kidney & liver dysfunction, reoccurring sinus infections, bronchitis, scarring on my lungs, breast pain/infections, lymph node swelling and discomfort, peripheral neuropathy, food allergies and more.
As my health declined, my career was also harmed. I had to be more selective in the stunt/acting jobs I accepted.

In October 2015, a routine mammogram ruptured my right implant, sending all the unidentified chemicals in my implants to wreak havoc on my already weakened body. I was finally explanted in March 2016, removing ALL the capsules (including those from previous implants, as well as a mass and 5 lymph nodes). Silicone had migrated all through my chest and clavicle area.

I have been diagnosed with two autoimmune disorders, Sjogren’s and Hashimoto’s, and was tested for implant related lymphoma (BIA-ALCL), a cancer of the immune system, in September 2016. In October 2016 another ultrasound was performed and another mass was detected. The mass was removed, and I am now waiting for additional test results.

I share my story as a mom of two beautiful girls. I never want them to go through the nightmare I have. I want them to love and accept their natural body. My oldest daughter is being tested for autoimmune disorders and has a very weakened immune system.

I advocate so other women can be informed of the risks of breast implants, including autoimmune diseases, capsular contracture, and BIA-ALCL. I want them to be warned that implants can interfere with breastfeeding, and can make mammograms dangerous since the pressure can cause rupture and leakage. The FDA, manufacturers, doctors, and Insurance providers need to be held accountable for the pain and suffering of millions of women. More studies need to be done to prove the safety and efficacy. Women need to be told the truth, so that they can provide informed consent for all the risks, including the financial and emotional costs. The FDA allowed the companies’ “studies” to drop most of their patients – in other words, they were not real studies. The FDA needs to require studies of all the women with implants and require accurate reporting by physicians who know their implant patients are harmed but aren’t notifying the FDA. Insurance companies need to pay for implant removal when it is medically necessary. Although my surgery certainly was medically necessary, I had to pay over $20,000.00. The illness has left a debilitating scar on my health but also my family, marriage, finances and career. No wonder so many women with implants suffer from depression and even turn to suicide.

I co-founded The Breast Implant Victim’s Advocacy. It is a group of women with a VOICE, working hard to change the flawed regulation of implants. We at BIVA stand up for those harmed by silicone and saline breast implants. We are currently lobbying in Washington, D.C. for Ariel Grace’s Law (HR5403) with women from the EssureProblems Facebook page, and others harmed by inadequately tested medical devices.
Although the damage is done on my body, I do feel better since the explant surgery. I have hope that we are making a strong impact and so thankful for Diana Zuckerman and NCHR for all you have done.
Be your own health advocate, fight to be heard and never give up!

Chandra DeAlessandro
Breast Implant Victim Advocacy