DOI: 10.1148/radiol.2241010061
Mammographic Screening of TRAM Flap Breast Reconstructions for Detection of Nonpalpable Recurrent Cancer1
Mark A. Helvie, MD,
Janet E. Bailey, MD,
Marilyn A. Roubidoux, MD,
Helen A. Pass, MD,
Alfred E. Chang, MD,
Lori J. Pierce, MD and
Edwin G. Wilkins, MD
1 From the Departments of Radiology (M.A.H., J.E.B., M.A.R.), Surgery (H.A.P., A.E.C., E.G.W.), and Radiation Oncology (L.J.P.), University of Michigan Health System, 1500 E Medical Center Dr, Taubman Center 2910N, Ann Arbor, MI 48109-0326. From the 1999 RSNA scientific assembly. Received November 29, 2000; revision requested January 4, 2001; revision received September 24; accepted February 1, 2002. Address correspondence to M.A.H.
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Figure 1a. (a) Craniocaudal (left) and mediolateral oblique (right) views of a TRAM-reconstructed breast show a 1.3-cm mass (arrow) adjacent to the chest wall. (b) Spot compression view better demonstrates the irregular margins of the mass (M). Invasive ductal carcinoma was found at biopsy.
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Figure 1b. (a) Craniocaudal (left) and mediolateral oblique (right) views of a TRAM-reconstructed breast show a 1.3-cm mass (arrow) adjacent to the chest wall. (b) Spot compression view better demonstrates the irregular margins of the mass (M). Invasive ductal carcinoma was found at biopsy.
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Figure 2. Magnification mediolateral oblique view of the upper outer quadrant of a TRAM-reconstructed breast shows a mass (arrows) with spiculated margins proved to represent recurrence of invasive ductal carcinoma. Adjacent mass (arrowheads) with calcifications was an area of fat necrosis.
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Figure 3a. (a) Native breast (left) and postmastectomy TRAM reconstruction (right) in the same patient. Mediolateral oblique view shows clustered calcifications with density (arrow) in the extreme upper outer quadrant of the TRAM-reconstructed breast. (b) Wire localization radiograph of the specimen better demonstrates the calcifications (arrows). Fibrocystic change with calcifications was found at histologic examination. This likely occurred in an area of native breast tissue not removed at mastectomy.
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Figure 3b. (a) Native breast (left) and postmastectomy TRAM reconstruction (right) in the same patient. Mediolateral oblique view shows clustered calcifications with density (arrow) in the extreme upper outer quadrant of the TRAM-reconstructed breast. (b) Wire localization radiograph of the specimen better demonstrates the calcifications (arrows). Fibrocystic change with calcifications was found at histologic examination. This likely occurred in an area of native breast tissue not removed at mastectomy.
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Copyright © 2002 by the Radiological Society of North America.
