Article ; Online: Breast reconstruction with a transverse rectus abdominis myocutaneous flap: spectrum of normal and abnormal MR imaging findings.
Radiographics : a review publication of the Radiological Society of North America, Inc
2004 Volume 24, Issue 5, Page(s) 1287–1299
Abstract: The authors retrospectively reviewed their clinical database for cases of breast magnetic resonance (MR) imaging performed in women who had undergone breast reconstruction with a transverse rectus abdominis myocutaneous (TRAM) flap. Patient histories, MR ...
| Abstract | The authors retrospectively reviewed their clinical database for cases of breast magnetic resonance (MR) imaging performed in women who had undergone breast reconstruction with a transverse rectus abdominis myocutaneous (TRAM) flap. Patient histories, MR imaging results, and, when available, biopsy results were reviewed. During a 4-year period, 24 neobreasts were imaged in 22 women who had undergone TRAM flap reconstruction after mastectomy. In most of the cases (64%), the indication for MR imaging was a palpable abnormality or pain. In four of 24 cases (17%), recurrent breast cancer was detected. These cases consisted of a local chest wall tumor (n = 2), an infiltrating chest wall tumor (n = 1), and axillary nodal recurrence (n = 1). In all four cases, MR imaging demonstrated a suspicious lesion or abnormality. In 11 of 24 cases (46%), benign findings only were demonstrated. These consisted of localized or diffuse skin thickening, fibrosis, fat necrosis, and seroma. In nine of 24 cases (38%), no pathologic abnormality was identified. MR imaging is useful in detection of locally recurrent tumor in patients who have undergone breast reconstruction with a TRAM flap. MR imaging allows differentiation between benign and malignant findings in patients with palpable abnormalities or pain after TRAM flap reconstruction. |
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| MeSH term(s) | Adult ; Artifacts ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/surgery ; Carcinoma, Ductal, Breast/diagnostic imaging ; Carcinoma, Ductal, Breast/radiotherapy ; Carcinoma, Ductal, Breast/secondary ; Carcinoma, Ductal, Breast/surgery ; Cicatrix/diagnostic imaging ; Combined Modality Therapy ; Fat Necrosis/diagnostic imaging ; Female ; Fibrosis ; Humans ; Lymphatic Metastasis/diagnostic imaging ; Magnetic Resonance Imaging/methods ; Mammaplasty/methods ; Mammography ; Middle Aged ; Neoplasm Recurrence, Local/diagnostic imaging ; Neoplasms, Second Primary/diagnostic imaging ; Radiation Injuries/diagnostic imaging ; Radiotherapy/adverse effects ; Rectus Abdominis/transplantation ; Retrospective Studies ; Seroma/diagnostic imaging ; Surgical Flaps ; Thoracic Neoplasms/diagnostic imaging ; Thoracic Neoplasms/secondary ; Thoracic Wall/diagnostic imaging | |||||
| Language | English | |||||
| Publishing date | 2004-09 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article ; Review | |||||
| ZDB-ID | 603172-9 | |||||
| ISSN | 1527-1323 ; 0271-5333 | |||||
| ISSN (online) | 1527-1323 | |||||
| ISSN | 0271-5333 | |||||
| DOI | 10.1148/rg.245035734 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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