Intérêt de l’échographie systématique du site de mastectomie

Kanso, H.; Kazzi, H.; Menassa-Moussa, L.; Khalil, S. Abi; Ghosn, Marwan; Chahine, Georges; Tohme, Cyril; Aoun, N; Ghossain, M.

doi:10.1016/s0221-0363(08)73911-8

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…Among the occult regional recurrences after surgical treatment for breast cancer, only 21.4% occur at the axillary area lateral to the pectoralis muscle, which may be included within the fields of mammography and surgical sampling, while the remaining 78.6% of regional recurrence was detected by US alone at areas other than the axilla (34, 35, 36). In other studies, the sensitivity of mammography is only 10% (0.0-14.3%), whereas that of US was around 90% (81.1-100.0%) to detect regional or locoregional recurrences (24, 34, 37, 38, 39, 40). …”

Section: Imaging Modalitiesmentioning

confidence: 88%

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Imaging Surveillance of Patients with Breast Cancer after Primary Treatment: Current Recommendations

2015

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Women who have been treated for breast cancer are at risk for second breast cancers, such as ipsilateral recurrence or contralateral metachronous breast cancer. As the number of breast cancer survivors increases, interest in patient management and surveillance after treatment has also increased. However, post-treatment surveillance programs for patients with breast cancer have not been firmly established. In this review, we focus on the imaging modalities that have been used in post-treatment surveillance for patients with breast cancer, such as mammography, ultrasonography, magnetic resonance imaging, and positron emission tomography, the effectiveness of each modality for detecting recurrence, and how they can be applied to manage patients.

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Section: Imaging Modalitiesmentioning

confidence: 88%

“…Several studies have shown surveillance results of US applied to women who were treated for breast cancer (34, 37, 39, 40, 41). The reported cancer detection rates were 1.7-5.1% per patient, and the positive predictive value (PPV) was 21.5-52.6%, with percentages varying according to the area involved.…”

Section: Imaging Modalitiesmentioning

confidence: 99%

Imaging Surveillance of Patients with Breast Cancer after Primary Treatment: Current Recommendations

2015

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“…Yilmaz et al also reported the superior sensitivity and specificity (90% and 88.9%, respectively) of sonography and MRI (100% and 100%, respectively) over clinical examination (70% and 35.2%, respectively) [8]. Several recent studies have further addressed the efficacy of locoregional sonography after mastectomy; they found the sonographic cancer detection rates to be 2.8% [11], 1.7% [7], and 2.1%, respectively [6]. Of these studies, the sonographic cancer detection rates in 2 studies exclusively reflect asymptomatic recurrences [6,7].…”

Section: Discussionmentioning

confidence: 99%

“…Sonographic features of chest wall recurrences after mastectomy have been infrequently reported [2,3,6,10,11]. Earlier studies reported that recurrent cancers demonstrated probably benign features on sonography [2,3,12].…”

Section: Discussionmentioning

confidence: 99%

“…Earlier studies reported that recurrent cancers demonstrated probably benign features on sonography [2,3,12]. Kanso et al reported that all recurrent cancers at mastectomy sites were parallel-oriented, well-defined, hypoechoic lesions, and differentiation between benign and malignant lesions at mastectomy sites was difficult [11]. However, with technical improvements in sonography equipment, more recent studies suggest that BI-RADS final assessment can be carefully applied to lesions at mastectomy sites [6,10].…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Cutaneous Recurrence of Carcinoma in the Mastectomy Bed and Its Imaging Features: A Case Report

Kim

2019

Am J Case Rep

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Patient: Female, 44 Final Diagnosis: Cutaneous recurrence of carcinoma in the mastectomy bed Symptoms: Palpable lump Medication: — Clinical Procedure: — Specialty: Radiology Objective: Challenging differential diagnosis Background: Chest wall recurrences of carcinoma after mastectomy usually involve subcutaneous tissue or the deep muscular layer. Recurrences arising in the skin are rare, and there are few reports of the associated radiologic features. This report presents an unusual case of cutaneous recurrence in the mastectomy bed and demonstrates its radiologic features using sonography and magnetic resonance imaging (MRI). Case Report: A 44-year-old woman presented with a palpable lump in the inferomedial area of the right chest wall. Six years ago, she had undergone total mastectomy for ductal carcinoma in situ in her right breast. Sonography showed an indistinct, oval, heterogeneous echoic mass measuring 0.9 cm, confined within the skin layer, corresponding to the palpable lump. A color Doppler sonogram showed minimal, spotted vascularity in and around the mass. Sonography-guided fine-needle aspiration biopsy was performed, revealing multiple clusters of atypical cells, suggestive of ductal carcinoma. On subsequent breast MRI, the mass, measuring 1.3 cm, was again localized to the skin; dynamic contrast-enhanced scans showed a circumscribed margin, oval shape, and rim enhancement (morphology) and slow initial enhancement and persistent delayed enhancement (kinetics). The mass was surgically excised and the pathological examination confirmed the diagnosis as recurrent invasive ductal carcinoma in the dermis. Conclusions: Cutaneous recurrence in the mastectomy bed can manifest as a mass with suspicious radiologic features: indistinct margin on the sonogram and rim enhancement on the MRI. Awareness of such radiologic features may aid in differentiating between the various cutaneous manifestations encountered after mastectomy.

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