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POST BREAST CONSERVING THERAPY
POST BREAST CONSERVING THERAPY
NORMAL APPEARANCE
NORMAL APPEARANCE
Postlumpectomy changes evolve over a period of approx 2-3 years and then stabilize
Expected findings:
Skin thickening
Parenchymal edema
Postoperative fluid collections
Scarring
Can increase with time but should decrease in density.
Fat necrosis
Dystrophic calcifications
ABNORMAL APPEARANCE
ABNORMAL APPEARANCE
Abnormal appearance:
Masses
Microcalcifications
Skin thickening
Axillary mass
No increased density in lumpectomy bed
No new convex margins
REDUCTION MAMMOPLASTY
REDUCTION MAMMOPLASTY
SILICONE GRANULOMA
SILICONE GRANULOMA
BREAST RECONSTRUCTION
BREAST RECONSTRUCTION
Multiple ways to reconstruct a breast following mastectomy
Implant reconstruction
Autologous reconstruction
TRAM flap
fat transplanted from abdomen to breast
Latissimus dorsi flap
Deep inferior epigastric perforator (DIEP) flap
Autologous fat injections
FAT NECROSIS OF TRAM FLAP
FAT NECROSIS OF TRAM FLAP
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