Imaging of the treated breast post breast conservation surgery/oncoplasty: Pictorial review

Ramani, Subhash; Rastogi, Ashita; Mahajan, Abhishek; Nair, Nita; Shet, Tanuja; Thakur, Meenakshi

doi:10.4329/wjr.v9.i8.321

Cited by 21 publications

(16 citation statements)

References 20 publications

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“…Surgical interventions for the breast may be for cosmetic or health reasons, but most lead to breast tissue reposition and scar formation [ 16 ]. On mammography, scar tissue appears as an architectural distortion, tissue asymmetry, or spiculated opacity, affecting the interpretation of radiological findings.…”

Section: Discussionmentioning

confidence: 99%

Clinical Factors Associated with Asymptomatic Women Having Inconclusive Screening Mammography Results: Experiences from a Single Medical Center in Taiwan

Wang

Hsu

Lin

et al. 2021

IJERPH

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Screening mammography is used worldwide for the early detection of breast cancer in women experiencing no symptoms. The Breast Imaging Reporting and Database System (BI-RADS) is used to report mammographic findings. However, little is known about the clinical characteristics of Asian women with BI-RADS category 0, and we aimed to explore such characteristics in the context of Taiwan. This retrospective cross-sectional study was conducted using data from a single tertiary medical center. We examined the association of blood test data and estrogen exposure–related medical histories with BI-RADS reports from screening mammography of 4280 women between 1 January 2010 and 31 July 2019. The data of 4280 participants were evaluated, and they were categorized into BI-RADS category 0 (n = 413; 9.6%) and 1–5 (n = 3867; 90.4%) subgroups. In a multivariate analysis, breast surgery history and premenopausal status had a positive relationship with a category 0 status, with respective risk increases of 64% and 34% (p = 0.010 and 0.013). Hormone contraceptive use for ≥5 years was a negative independent predictor of having a category 0 status. In conclusion, breast surgery history and premenopausal status significantly increased the likelihood of individuals having incomplete mammographic findings, even when they were older than 45 years. Identifying related factors before screening mammography is helpful for clinical physicians to arrange more proper and alternative examination and obtain a definite diagnosis.

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Section: Discussionmentioning

confidence: 99%

Clinical Factors Associated with Asymptomatic Women Having Inconclusive Screening Mammography Results: Experiences from a Single Medical Center in Taiwan

Wang

Hsu

Lin

et al. 2021

IJERPH

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“…Mammographic spot compression views can be applied with or without magnification. If previous examination results are available, the findings should be compared with prior mammograms [51].…”

Section: Radiologymentioning

confidence: 99%

Oncoplastic and Reconstructive Breast Surgery: A Comprehensive Review

Çıtgez¹,

Yiğit²,

Baş³

2022

Cureus

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Most of the approaches that were valid until recently in breast cancer surgery have undergone significant changes with rising awareness, increasing number of patients, and knowledge. It is important to repair the damage caused by surgical treatment performed in accordance with oncological principles and to obtain good cosmetic results. The quality-of-life indexes increase and body image is positively affected by the development of oncoplastic surgery and reconstruction techniques.The oncoplastic techniques are commonly used for the closure of glandular defects. Surgeons must pay attention to the breast volume, tumor location, the amount of breast tissue that would be removed, and the oncoplastic technique that may be required. Oncoplastic breast surgery allows wide local excision of the mass with good cosmetic results. In addition, a contralateral breast lift, breast augmentation or breast reduction may be required to accommodate the conceptually reconstructed breast. The use of oncoplastic breast surgery techniques results in lower mastectomy rates with equivalent local and long-term survival rates as compared with mastectomy and offers women the option of plastic and reconstructive interventions performed at the time of initial surgery. Mastectomy may be needed for large tumors, as breast-conserving surgery may not be possible or may not produce satisfactory cosmetic results. Breast reconstruction methods after mastectomy include autologous or implant-based breast reconstructions, which can be performed at the same time as the breast cancer surgery (immediate reconstruction) or at a later time (delayed reconstruction).Oncoplastic and reconstructive breast surgery minimizes the impact of breast cancer surgery and yields equivalent survival outcomes without psychological morbidity. With advanced techniques, better breast image than before can also be achieved. In this review, the technical details of oncoplastic breast surgery, surgical margin positivity management, reconstruction methods, radiation therapy given after reconstruction surgery, radiologic imaging modalities, and management of complications are discussed.

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“…Regarding calcifications, their correlation with trauma is remarkable. Since operative procedures 'traumatize' the tissue, large calcifications (>5 mm) without suspected mass or accompanying micro-calcifications are caused by the recent invasive procedures, with or without damaged necrotic fat tissue (27)(28)(29).…”

Section: Post-treatment Xbimentioning

confidence: 99%

“…The 'incomplete' conclusion from BI-RADS assessment means that some follow-up imaging, for example, ultrasonography or magnetic resonance imaging (MRI), may have to be considered to confirm the locoregional restaging for the next treatment phase, for example, radiotherapy. Findings of residual lesions require long-term breast surveillance (28)(29)(30). The findings of architectural distortions and neo-density do not always mean that they are of concern because tissue-scarring post-operatively may mimic recurrence.…”

Section: Post-treatment Xbimentioning

confidence: 99%

The Role of Breast Imaging in Pre- and Post-Definitive Treatment of Breast Cancer

Hermansyah

Firsty

2022

Breast Cancer

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Breast imaging is an integral part of breast cancer management. Many imaging modalities are available in assisting clinicians in the screening and detection of breast cancer. These can be broadly grouped under three categories: X-ray-based breast imaging, magnetic-field-based breast imaging, and ultrasound wave-based breast imaging. Mammography is the most used X-ray-based breast imaging. This chapter provides an overview of various imaging modalities with emphasis on mammography, magnetic resonance imaging, and ultrasound. Their uses in pre-and post-treatment settings, along with their advantages and disadvantages are presented from an Indonesian perspective.Note to the Reader: This chapter is part of the book Breast Cancer (ISBN: 978-0-6453320-3-2), scheduled for publication in July 2022. The book is being published by Exon Publications,

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Imaging of the treated breast post breast conservation surgery/oncoplasty: Pictorial review

Cited by 21 publications

References 20 publications

Clinical Factors Associated with Asymptomatic Women Having Inconclusive Screening Mammography Results: Experiences from a Single Medical Center in Taiwan

Clinical Factors Associated with Asymptomatic Women Having Inconclusive Screening Mammography Results: Experiences from a Single Medical Center in Taiwan

Oncoplastic and Reconstructive Breast Surgery: A Comprehensive Review

The Role of Breast Imaging in Pre- and Post-Definitive Treatment of Breast Cancer

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