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As of Feb. 1, the agency had received a total of 359 reports of the cancer associated with the implants. The deaths were not caused by breast cancer, the agency said, but by a rare malignancy in the immune system, anaplastic large-cell lymphoma. In cases linked to implants, this rare form of cancer grows in the breast, usually in the capsule of scar tissue that forms around an implant. It is usually treatable and not often fatal.

The problem is more likely to occur with textured implants, which have a pebbly surface, than with smooth implants, the agency said. Of the 359 reported cases, 231 included information about the implant surface: 203 were textured, and 28 smooth.

The contents of the implants appeared much less important: Of 312 cases where the contents were known, 186 were filled with silicone gel, and 126 with saline.

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