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Correspondence
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Volume 328:661-663 March 4, 1993 Number 9
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Breast Augmentation and the Risk of Subsequent Breast Cancer

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To the Editor: Berkel and colleagues (June 18 issue)1 performed a population-based cohort-linkage study. A cohort of 11,676 women who underwent cosmetic breast augmentation was compared with the cohort of all 13,552 women in Alberta, Canada, in whom a first primary breast cancer was diagnosed. Breast cancer developed in 41 patients with implants, whereas the number expected on the basis of age-specific and calendar-year-specific incidence rates was 86.2. The authors conclude that women who undergo breast augmentation with silicone implants have a lower risk of breast cancer than the general population.

The authors have not addressed the distribution of risk . . . [Full Text of this Article]

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