Value of US imaging following mastectomy

To assess the value of US of the mastectomy site at the time of follow-up of the contralateral residual breast. Over a 5 year period, 251 patients with previous mastectomy underwent 505 unilateral mammographies with US of the mastectomy site. The time delay between imaging and mastectomy ranged betw...

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Bibliographic Details
Published in:Journal de radiologie 2008-09, Vol.89 (9 Pt 1), p.1077-1080
Main Authors: Kanso, H, Kazzi, H, Menassa-Moussa, L, Abi Khalil, S, Ghosn, M, Chahine, G, Tohmé, C, Aoun, N, Ghossain, M
Format: Article
Language:fre
Subjects:
Adult
Aged
Aged, 80 and over
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - surgery
Female
Follow-Up Studies
Humans
Middle Aged
Neoplasm Recurrence, Local - diagnostic imaging
Retrospective Studies
Ultrasonography
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Summary:To assess the value of US of the mastectomy site at the time of follow-up of the contralateral residual breast. Over a 5 year period, 251 patients with previous mastectomy underwent 505 unilateral mammographies with US of the mastectomy site. The time delay between imaging and mastectomy ranged between 1-15 years, with a mean of 7.5 years. Lesions at the mastectomy site were classified as follows: BIRADS 2 for a cyst or prominent edema, BIRADS 3 for a lymph node with preserved fatty hilum or mildly echogenic cyst, BIRADS 4 for well-defined hypoechoic lesions, and BIRADS 5 for ill-defined lesions. None of the lesions classified as BIRADS 1, 2 or 3 was malignant. Eleven lesions were classified as BIRADS 4: 3 benign lesions, 7 malignant lesions, and 1 non-verified lesion. No lesion was classified as BIRADS 5. Systematic US evaluation of the mastectomy site appears warranted since only 1 of 7 malignant lesions was clinically palpable prior to US whereas all were retrospectively palpable after US.
ISSN:0221-0363
DOI:10.1016/S0221-0363(08)73911-8