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DH Letter to Professionals: http://www.dh.gov.uk/health/2012/01/pip-breast-implants-letters-to-professionals/ DH Interim Report from the Expert Group: http://www.dh.gov.uk/health/2012/01/pip-implants-interim-report/ Annex E of this contains the clinical guidance. It does include looking for evidence of rupture. In the main body of the report it says "... some ruptures – perhaps as many as 2 in 3 – do not result in clinical signs or symptoms, and can only be detected by scanning or by explantation (removal). " The report does not mention laboratory investigations. Jonathan On 9 Jan 2012, at 14:55, Sarah Mapplebeck wrote: > I've had a phone call from one of our local GPs. Several patients have turned up asking for their blood tests as they have PIP implants. Surgeons are sending patients to their GPs who don't know what to do. > > Are we meant to measure silcone in these patients and if so, any ideas on the laboratory providing this? What are others doing? > > Thanks, Sarah > ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/