MRI Appearance of Tumor Recurrence in Myocutaneous Flap Reconstruction After Mastectomy

Peng, C.; Chang, Chia‐Ju; Tso, Hilda H.; Flowers, Christopher; Hylton, Nola M.; Joe, Bonnie N.

doi:10.2214/ajr.10.5279

Cited by 18 publications

(4 citation statements)

References 16 publications

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“…In addition, breast MRI is critical in the evaluation of deep recurrences to determine involvement of the pectoralis major muscle and the chest wall muscles. [24] e median time in our study between the mastectomy and the recurrence in the reconstructed breast was 19.1 months (range, 1.6-63 months). e frequency of breast recurrence was similar to that noted in the published literature.…”

Section: Discussionmentioning

confidence: 65%

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Imaging Surveillance of the Reconstructed Breast in a Subset of Patients May Aid in Early Detection of Breast Cancer Recurrence

Adrada

Karbasian

Huang

et al. 2021

JCIS

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Objectives: The purpose of this study is to determine the biological markers more frequently associated with recurrence in the reconstructed breast, to evaluate the detection method, and to correlate recurrent breast cancers with the detection method. Material and Methods: An institutional review board-approved retrospective study was conducted at a single institution on 131 patients treated with mastectomy for primary breast cancer followed by breast reconstruction between 2005 and 2012. Imaging features were correlated with clinical and pathologic findings. Results: Of the 131 patients who met our inclusion criteria, 40 patients presented with breast cancer recurrence. The most common histopathologic type of primary breast cancer was invasive ductal carcinoma in 82.5% (33/40) of patients. Triple-negative breast cancer was the most common biological marker with 42.1% (16/38) of cases. Clinically, 70% (28/40) of the recurrences presented as palpable abnormalities. Of nine patients who underwent mammography, a mass was seen in eight patients. Of the 35 patients who underwent ultrasound evaluation, an irregular mass was found in 48.6% (17/35) of patients. Nine patients with recurrent breast cancer underwent breast MRI, and MRI showed an irregular enhancing mass in four patients, an oval mass in four patients, and skin and trabecular thickening in one patient. About 55% of patients with recurrent breast cancer were found to have distant metastases. Conclusion: Patients at higher risk for locoregional recurrence may benefit from imaging surveillance in order to detect early local recurrences.

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Section: Discussionmentioning

confidence: 65%

“…In addition, breast MRI is critical in the evaluation of deep recurrences to determine involvement of the pectoralis major muscle and the chest wall muscles. [ 24 ]…”

Section: Discussionmentioning

confidence: 99%

Imaging Surveillance of the Reconstructed Breast in a Subset of Patients May Aid in Early Detection of Breast Cancer Recurrence

Adrada

Karbasian

Huang

et al. 2021

JCIS

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“…It can differentiate benign from malignant changes in the reconstructed breast especially for chest wall lesions or if superficial lesions are clinically misinterpreted as fat necrosis. [35][36]…”

Section: Surgical Treatment Of the Breastmentioning

confidence: 99%

Evidence-Based Clinical Practice Guidelines for Early Breast Cancer

2013

Philipp J Surg Spec

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In June 2012, the Philippine College of Surgeons (PCS) through the Committee on Cancer tasked the Philippine Society of General Surgeons (PSGS) to update the then existing evidence-based clinical practice guidelines for different cancer sites. The PSGS then delegated the responsibility of updating and revising the practice guidelines on breast cancer to the Breast Study Group (BSG). The BSG decided to focus its efforts on early breast cancer initially, with plans to also update the guidelines on advanced breast cancer in the near future. With approval from the PCS Board of Regents, it was recommended that instead of revising the manual following the evidence-based process in making guidelines, the guidelines published by different groups and organizations be adapted [i.e.

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“…MRI has been shown to be valuable in detecting breast cancer recurrence in the post‐treatment breast not found by mammography or clinical examination, particularly when the lesions are located more posteriorly or if superficial lesions are clinically misinterpreted, e.g. as fat necrosis …”

Section: Introductionmentioning

confidence: 99%

Review and audit of the post‐surgical MRI breast: Pictorial essay

et al. 2019

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Audit of contrast-enhanced breast MRI performed over a 3-year period in a single institution to describe and summarise the changes seen after surgery and radiation therapy for primary breast cancer, breast augmentation and oncoplastic surgery. Seventy women were identified and reviewed (100 breast MRIs in total). The most common change seen was haemosiderin deposition. The early changes of skin thickening, oedema, seroma and background parenchymal enhancement decreased with time leaving residual breast shrinkage, haemosiderin/calcification and architectural distortion due to fibrosis and scarring.

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MRI Appearance of Tumor Recurrence in Myocutaneous Flap Reconstruction After Mastectomy

Cited by 18 publications

References 16 publications

Imaging Surveillance of the Reconstructed Breast in a Subset of Patients May Aid in Early Detection of Breast Cancer Recurrence

Imaging Surveillance of the Reconstructed Breast in a Subset of Patients May Aid in Early Detection of Breast Cancer Recurrence

Evidence-Based Clinical Practice Guidelines for Early Breast Cancer

Review and audit of the post‐surgical MRI breast: Pictorial essay

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