This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kim, S. M. Articles by Park, J. M. Search for Related Content PubMed PubMed Citation Articles by Kim, S. M. Articles by Park, J. M.

Mammographic and Ultrasonographic Features After Autogenous Myocutaneous Flap Reconstruction Mammoplasty

Department of Radiology, Asan Medial Center, University of Ulsan College of Medicine, Seoul, South Korea.

Address correspondence to Jeong Mi Park, MD, Department of Radiology, University of Wisconsin Hospital and Clinics, G3/120, 600 Highland Ave, Madison, WI 53792-1840. Address reprint requests to Sun Mi Kim, MD, Department of Radiology, Asan Medial Center, University of Ulsan College of Medicine, 388-1 Pungnap-dong, Songpa-gu, Seoul 138-736, South Korea. E-mail: kimsm{at}hanmir.com.

Objective. To present mammographic and ultrasonographic findings in various types of reconstruction using an autogenous myocutaneous flap after mastectomy or breast-conserving surgery. Methods. Mammography and ultrasonography performed in patients who had undergone reconstruction mammoplasty using the autogenous myocutaneous flap procedure were reviewed to facilitate recognition of both normal and abnormal postoperative appearances of the various types of reconstruction using the autogenous myocutaneous flap after mastectomy or breast-conserving surgery. Results. Normal mammographic and ultrasonographic findings include predominance of a fatty appearance, surgical clips, and surgical scars. Abnormal mammographic and ultrasonographic findings include fat necrosis, calcifications, and locally recurrent carcinoma. Ultrasonographic findings of fat necrosis were cystic, complex, and solid-appearing masses with circumscribed or poorly defined margins in peripheral portions of the flap. Ultrasonographic findings of locally recurrent carcinoma were poorly defined heterogeneous hypoechoic lesions in reconstructed breast, similar to those of primary breast cancer. Conclusions. Breast reconstruction using the autogenous myocutaneous flap has increased in popularity with various methods. Mammography and ultrasonography facilitated excellent visualization of normal and abnormal findings of various reconstructed breasts with the autogenous myocutaneous flap.

Key Words: breast • breast, prostheses • breast neoplasms, radiography • breast neoplasms, ultrasonographic diagnosis

Abbreviations: CC, craniocaudal • MLO, mediolateral oblique • TRAM, transverse rectus abdominis musculocutaneous