Abstract
Breast cancer treatment has markedly improved in the last few decades. Radical mastectomy was initially considered the treatment of choice despite its associated morbidity. However, less aggressive surgeries such as modified radical mastectomy, simple mastectomy, skin-sparing mastectomy, and breast-conserving surgery have increasingly replaced radical mastectomy. Moreover, reconstructive surgeries such as oncoplastic surgery have entered the surgical scene, combining a safe oncological treatment approach with desirable aesthetic outcomes. Many women being treated for breast cancer have also undergone breast-enhancing procedures using exogenous material that are either heterologous or autologous. These procedures can be performed for purely aesthetic reasons or for reconstructive purposes in cases of breast cancer.
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Neal CH, Yilmaz ZN, Noroozian M et al (2013) Imaging of breast cancer-related changes after surgical therapy. AJR 202:262–272
Sabel MS, Pierce LJ (2016) Breast conserving therapy. UpToDate. http://www.uptodate.com/contents/breast-conserving-therapy
Hayes MK, Gold RH, Bassett LW (1993) Mammographic findings after the removal of breast implants. Am J Roentgenol 160(3):487–490
Danikas D, Theodorou SJ, Kokkalis G, Vasiou K, Kyriakopoulou K (2001) Mammographic findings following reduction mammoplasty. Aesthetic Plast Surg 25(4):283–285
Muir TM, Tresham J, Fritschi L, Wylie E (2010) Screening for breast cancer post reduction mammoplasty. Clin Radiol 65(3):198–205
Roberts JM, Clark CJ, Campbell MJ, Paige KT (2011) Incidence of abnormal mammograms after reduction mammoplasty: implications for oncoplastic closure. Am J Surg 201(5):611–614
Lee JH, Kim EK, Oh JY, Kwon HC, Kim SH, Kim DC et al (2013) US screening for detection of nonpalpable locoregional recurrence after mastectomy. Eur J Radiol 82(3):485–489
Mitnick JS, Roses DF, Harris MN, Colen SR (1990) Calcifications of the breast after reduction mammoplasty. Surg Gynecol 171(5):409–412
Miller JA, Festa S, Goldstein M (1998) Benign fat necrosis simulating bilateral breast malignancy after reduction mammoplasty. South Med J 91(8):765–767
Berg WA, Blume JD, Cormack JB, Mendelson EB, Lehrer D, Bohm-Velez M et al (2008) Combined screening with ultrasound and mammography vs mammography alone in women at elevated risk of breast cancer. JAMA 299(18):2151–2163
Corsetti V, Houssami N, Ferrari A, Ghirardi M, Bellarosa S, Angelini O et al (2008) Breast screening with ultrasound in women with mammography-negative dense breasts: evidence on incremental cancer detection and false positives, and associated cost. Eur J Cancer 44(4):539–544
Wo J, Taghian A (2007) Radiotherapy in setting of collagen vascular disease. Int J Radiat Oncol Biol Phys 69:1347
Boostrom SY, Throckmorton AD, Boughey JC et al (2009) Incidence of clinically significant seroma after breast and axillary surgery. J Am Coll Surg 208:148
Mertz KR, Baddour LM, Bell JL, Gwin JL (1998) Breast cellulitis following breast conservation therapy: a novel complication of medical progress. Clin Infect Dis 26:481
Keidan RD, Hoffman JP, Weese JL et al (1990) Delayed breast abscesses after lumpectomy and radiation therapy. Am Surg 56:440
Chankasul T, Lai KC, Slanetz PJ (2012) The postconservation breast: part I, expected imaging findings. AJR 198:321–330
Mendelson EB (1992) Evaluation of the postoperative breast. Radiol Clin North Am 30:107–138
Peters ME, Fagerholm MI, Scanlan KA, Voegeli DR, Kelcz F (1988) Mammographic evaluation of the postsurgical and irradiated breast. RadioGraphics 8:873–899
Libshitz HI, Montague ED, Paulus DD (1978) Skin thickness in the therapeutically irradiated breast. AJR 130:345–347
Bassett LW, Gold RH, Mirra JM (1982) Nonneoplastic breast calcifications in lipid cysts: development after excision and primary irradiation. AJR 138:335–338
Buckley JH, Roebuck EJ (1986) Mammographic changes following radiotherapy. Br J Radiol 59:337–344
Evers K, Troupin RH (1991) Lipid cyst: classical and atypical appearances. AJR 157:271–273
Orson LW, Cigtay OS (1983) Fat necrosis of the breast: characteristic xeromammographic appearance. Radiology 146:35–38
Wynn GR, Bentley PG, Liebmann R, Fletcher CD (2004) Mammary parenchymal angiosarcoma after breast- conserving treatment for invasive high-grade ductal carcinoma. Breast J 10:558–559
Catena F, Santini D, Di Saverio S et al (2006) Skin angiosarcoma arising in an irradiated breast: case- report and literature review. Dermatol Surg 32:447–455
Chankasul T, Lai KC, Slanetz PJ (2012) The postconservation breast: part 2, imaging findings of tumor recurrence and other long-term sequelae. AJR 198:331–343
Soderstrom CE, Harms SE, Farrell RS Jr, Pruneda JM, Flaming DP (1997) Detection with MR imaging of residual tumor in the breast soon after surgery. AJR 168:485–488
Schnitt SJ, Connolly JL, Recht A et al (1985) Breast relapse following primary radiation therapy for early breast cancer. II. Detection, pathologic features and prognostic significance. Int J Radiat Oncol Biol Phys 11:1277–1284
Recht A, Silen W, Schnitt SJ et al (1988) Time-course of local recurrence following conservative surgery and radiation therapy for early stage breast cancer. Int J Radiat Oncol Biol Phys 15:255–261
Dershaw DD, McCormick B, Cox L, Osborne MP (1990) Differentiation of benign and malignant local tumor recurrence after lumpectomy. AJR 155:35–38
Dershaw DD, McCormick B, Osborne MP (1992) Detection of local recurrence after conservative therapy for breast carcinoma. Cancer 70:493–496
Stomper PC, Recht A, Berenberg AL, Jochelson MS, Harris JR (1987) Mammographic detection of recurrent cancer in the irradiated breast. AJR 148:39–43
Hassell PR, Olivotto IA, Mueller HA, Kingston GW, Basco VE (1990) Early breast cancer: detection of recurrence after conservation surgery and radiation therapy. Radiology 176:731–735
Orel SG, Troupin RH, Patterson EA, Fowble BL (1992) Breast cancer recurrence after lumpectomy and irradiation: role of mammography in detection. Radiology 183:201–206
Belli P, Pastore G, Romani M, Terribile D, Canadè A, Costantini M (2002) Role of magnetic resonance imaging in the diagnosis of recurrence after breast conserving therapy. Rays 27:241–257
Preda L, Villa G, Rizzo S et al (2006) Magnetic resonance mammography in the evaluation of recurrence at the prior lumpectomy site after conservative surgery and radiotherapy. Breast Cancer Res 8:R53
Hirsch A, Sabel MS, Hayes DF (2016) Management of locoregional recurrence of breast cancer after mastectomy: UpToDate. http://www.uptodate.com/contents/management-of-locoregional-recurrence-of-breast-cancer-after-mastectomy
Yilmaz MH, Esen G, Ayarcan Y et al (2007) The role of US and MR imaging in detecting local chest wall tumor recurrence after mastectomy. Diagn Interv Radiol 13(1):13–18
Nahabedian M (2016) Overview of breast reconstruction. UpToDate. http://www.uptodate.com/contents/overview-of-breast-reconstruction
Berg WA, Caskey CI, Hamper UM et al (1993) Diagnosing breast implant rupture with MR imaging, US, and mammography. Radiographics 13(6):1323–1336
Juanpere S, Perez E, Huc O et al (2011) Imaging of breast implants-a pictorial review. Insights Imaging 2(6):653–670
Middleton MS, Mcnamara MP (2000) Breast implant classification with MR imaging correlation: (CME available on RSNA link). Radiographics 20(3):E1
DellaCroce FJ, Wolfe ET (2013) Breast reconstruction. Surg Clin N Am 93:445–453
Caskey CI, Berg WA, Hamper UM et al (1999) Imaging spectrum of extracapsular silicone: correlation of US, MR imaging, mammographic, and histopathologic findings. Radiographics 19(suppl_1):S39–S51
Venkataraman S, Hines N, Slanetz PJ (2011) Challenges in mammography: part 2, multimodality review of breast augmentation-imaging findings and complications. Am J Roentgenol 197(6):W1031–W1045
Leibman AJ, Misra M (2011) Spectrum of imaging findings in the silicone-injected breast. Plast Reconstr Surg 1 28(1):28e–29e
Eklund GW, Busby RC, Miller SH et al (1988) Improved imaging of the augmented breast. Am J Roentgenol 151:469–473
O’Toole M, Caskey CI (2000) Imaging spectrum of breast implant complications: mammography, ultrasound, and magnetic resonance imaging. Semin Ultrasound CT MR 21:351–361
Reynolds HE, Buckwalter KA, Jackson VP et al (1994) Comparison of mammography, sonograhy, and magnetic resonance imaging in the detection of silicone-gel breast implant rupture. Ann Plast Surg 33:247–255
Rosculet KA, Ikeda DM, Forrest ME et al (1992) Ruptured gel-filled silicone breast implants: sonographic findings in 19 cases. AJR 159:711–716
Pateau AA, McLaughlin SA, McNeil RB et al (2010) Capsular contracture and possible implant rupture: is magnetic resonance imaging useful. Plastic Reconstruct Surg 125:830–835
Di Benedetto G, Cecchini S, Grassetti L et al (2008) Comparative study of breast implant rupture using mammography, sonography and magnetic resonance imaging: correlation with surgical findings. Breast J 14:532–537
Scaranelo AM, Marques AF, Smialowski EB, Lederman HM et al (2004) Evaluation of the rupture of silicone breast implants by mammography, ultrasonography and magnetic resonance Imaging: correlation with surgical findings. Sao Paulo Med J 122(2):41–47
Youk JH, Son EJ, Kim EK et al (2009) Diagnosis of breast cancer at dynamic MRI in patients with breast augmentation by paraffin or silicone injection. Clin Radiol 64:1175–1180
Lui CY, Ho CM, Lu PP et al (2008) Evaluation of MRI findings after polyacrylamide gel injection for breast augmentation. AJR 191:677–688
Brenner RJ (2013) Evaluation of breast silicone implants. Magn Reson Imaging Clin N Am 21:547–560
Yamaguchi S, Nagumo Y, Niwa K (2013) Efficacy and safety of Macrolane(™) for breast enhancement: a 12-month follow-up study in Asian women. J Plast Surg Hand Surg 47(3):191–195
Chaput B, De Bonnecaze G, Chavoin JP, Gangloff D, Garrido I (2012) France prohibits the use of macrolane in aesthetic breast augmentation for reasons similar to criticisms of autologous fat grafting to the breast. Aesthetic Plast Surg 36(4):1000–1001
Pienaar WE, McWilliams S, Wilding LJ, Perera IT (2011) The imaging features of MACROLANE™ in breast augmentation. Clin Radiol 66(10):977–983
Ayeni OA, Ahmed MSI, Sumner AS (2012) Acellular dermal matrices in breast surgery: tips and pearls. Clin Plastic Surg 39:177–186
Margolis NE, Money C et al (2014) Update on imaging of the postsurgical breast. Radiographics 34:642–660
Dialani V, Lai KC, Slanetz PJ (2012) MR Imaging of the reconstructed breast: What the radiologist needs to know. Insights Imaging 3(3):201–213
Kinkel K, Hylton NM (2001) Challenges to interpretation of breast MRI. J Magn Reson Imaging 13:821–829
Chen CM, Halvorson EG, Disa HH, McCarthy C et al (2007) Immediate postoperative complications in DIEP versus free/Muscle—sparing TRAM flaps. Plastic Reconstruct Surg 120(6):1477–1482
Ascherman JA, Seruya M, Bartsich SA (2008) Abdominal wall morbidity following unilateral and bilateral breast reconstruction with pedicled TRAM flaps: an outcomes analysis of 117 consecutive patients. Plast Reconstr Surg 121:1–8
Spear SL, Boehmler JH, Taylor NS, Prada C (2007) The role of the latissimus dorsi flap in reconstruction of the irradiated breast. Plast Reconstr Surg 119:1–9
Tarantino I, Banic A, Fischer T (2006) Evaluation of late results in breast reconstruction by latissimus dorsi flap and prosthesis implantation. Plast Reconstr Surg 117:1387–1394
Granzow JW, Levine JL, Chiu ES, Allen RJ (2006) Breast reconstruction using perforator flaps. J Surg Oncol 94:441–454
Smit JM, Klein S, Werker PM (2010) An overview of methods for vascular mapping in the planning of free flaps. J Plast Reconstr Aesthet Surg 63:e674–e682
Kroll SS (2000) Fat necrosis in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps. Plast Reconstr Surg 106:576–583
Guerra AB, Metzinger SE, Bidros RS et al (2004) Breast reconstruction with gluteal artery perforator (GAP) flaps: a critical analysis of 142 cases. Ann Plast Surg 52:118–125
Granzow JW, Levine JL, Chiu ES, Allen RJ (2006) Breast reconstruction with gluteal artery perforator flaps. J Plast Reconstr Aesthet Surg 59:614–621
Fansa H, Schirmer S, Warnecke IC et al (2008) The transverse myocutaneous gracilis muscle flap: a fast and reliable method for breast reconstruction. Plast Reconstr Surg 122:1326–1333
Arnez ZM, Pogorelec D, Planinsek F, Ahcan U (2004) Breast reconstruction by the free transverse gracilis (TUG) flap. Br J Plast Surg 57:20–26
Lee JM, Georgian-Smith D, Gazelle GS et al (2008) Detecting nonpalpable recurrent breast cancer: the role of routine mammographic screening of transverse rectus abdominis myocutaneous flap reconstructions. Radiology 248:398–405
Missana MC, Laurent I, Barreau L et al (2007) Autologous fat transfer in reconstructive breast surgery: Indications, technique and results. EJSO 33:685–690
Lohsiriwat V, Curigliano G, Rietjens M et al (2011) Autologous fat transplantation in patients with breast cancer: “silencing” or “fueling” cancer recurrence? Breast 20:351–357
Parikh RP, Doren EL, Mooney B et al (2012) Differentiating fat necrosis from recurrent malignancy in fat-grafted breasts: an imaging classification system to guide management. PRS J 130:761–772
Constantini M, Cipriani A, Belli P et al (2013) Radiological findings in mammary autologous fat injections: a multi-technique evaluation. Clin Radiol 68:27–33
Veber M, Tourasse C, Toussoun G et al (2011) Radiographic findings after breast augmentation by autologous fat transfer. Plastic Reconstruct Surg 127:1289–1299
Hyakusoku H, Ogawa R, Ono S et al (2009) Complications after autologous fat injection to the breast. Plast Reconstr Surg 123:360–370. discussion 371-372
Rubin JP, Coon D, Zuley M et al (2012) Mammographic changes after fat transfer to the breast compared with changes after breast reduction: a blinded study. Plast Reconstr Surg 129:1029–1038
Locke MB, De Chalain TM (2008) Current practice in autologous fat transplantation: suggested clinical guidelines based on a review of recent literature. Ann Plast Surg 60:98–102
Kim SM, Park JM (2004) Mammographic and ultrasonographic features after autogenous myocutaneous flap reconstruction mammoplasty. J Ultrasound Med 23:275–282
Kwak JY, Lee SH, Park HL et al (2004) Sonographic findings in complications of cosmetic breast augmentation with autologous fat obtained by liposuction. J Clin Ultrasound 32:299–301
Hogge JP, Robinson RE, Magnant CM et al (1995) The mammographic spectrum of fat necrosis of the breast. RadioGraphics 15:1347–1356
Bircoll M (2011) Clinical analyses of clustered microcalcifications after autologous fat injection for breast augmentation. Plast Reconstr Surg 128:779e. author reply e-80e
Soo MS, Kornguth PJ, Hertzberg BS (1998) Fat necrosis in the breast: sonographic features. Radiology 206:261–269
Kinoshita T, Yashiro N, Yoshigi J et al (2002) Fat necrosis of breast. A potential pitfall in breast MRI. Clin Imaging 26:250–253
Petit JY, Lohsiriwat V, Clough KB et al (2011) The oncologic outcome and immediate surgical complications of lipofilling in breast cancer patients: a multicenter study—Milan-Paris-Lyon experience of 646 lipofilling procedures. Plast Reconstr Surg 128:341–346
Pierrefeu-Lagrange AC, Delay E, Guerin N et al (2006) Radiological evaluation of breasts reconstructed with lipomodeling. Ann Chir Plast Esthet 51:18–28
Gosset J, Guerin N, Toussoun G et al (2008) Radiological evaluation after lipomodelling for correction of breast conservative treatment sequelae [In French]. Ann Chir Plast Esthet 53:178–189
Masser MR, Di Meo L, Hobby JA (1989) Tattooing in reconstruction of the nipple and areola: a new method. Plast Reconstr Surg 84:677–681
Acknowledgments
The authors would like to thank Dr. Martina Marin Gutzke from the San Rafael Hospital, Madrid, Spain, for providing surgical images, as well as Joanne Chin from Memorial Sloan Kettering Center for providing editorial support.
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Rodrigo, S.P., Morris, E.A. (2017). Imaging Findings After Surgery. In: Veronesi, U., Goldhirsch, A., Veronesi, P., Gentilini, O., Leonardi, M. (eds) Breast Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-48848-6_21
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