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C-2200 - Imaging surveillance in post oncoplastic breast surgery

H. Sadec1, M. T. El-Diasty2, R. K. Ibrahim1; 1 Alexandria/EG 2 Jeddah/SA Type: Educational Exhibit
Area of Interest: Breast
Imaging Techniques: Ultrasound, Mammography, MR
Procedures: Surgery, Diagnostic procedure
Special Focus: Cancer
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Learning objectives: To illustrate the new surgical techniques applied in oncoplastic surgery To describe the various mammographic, tomosynthesis, sonographic and MRI findings after oncoplastic breast surgery.   To highlight the common post oncoplastic surgical complications that are sometimes misdiagnosed as sus[...]

Background: Around the year 1990, Audretsch suggested the use of plastic surgical techniques for immediate breast cancer treatment. This approach referred to as “oncoplastic surgery”. It offered secure oncologic treatment through careful pre-operative planning and the incorporation of plastic surgery techniques[...]

Findings and procedure details: We must remember that the ultimate goal of imaging following breast cancer surgery is to detect recurrence or new primary cancer before it is clinically detectable. Many factors affect local, regional recurrence and distant metastasis. These include age at diagnosis, primary tumor subtype and s[...]

Conclusion: On the basis of the typical imaging findings of the post-oncoplastic breast, it is possible for radiologists to identify the specific oncoplastic procedure performed for the patient. Needless to say, communication with the patient and the referring clinician remains an important part of the evaluati[...]

Personal information: Hoda Sadec, Women Imaging Department, Alexandria Radiology Center,Alexandria/EG.   Mohamed T. El-Diasty, Radiology Department, King AbdulAziz University Hosiptal, Jeddah/SA.    Prof. Rawia Ibrahim, Women Imaging Department, Alexandria Radiology Center,Alexandria/EG.

References: 1. Flowers CI, BP Mooney, JS Drukteinis. Clinical and imaging surveillance following breast cancer diagnosis. Am Soc Clin Oncol Educ Book 2012;59-64. 2. Margolis NE, C Morley, P Lotfi, et al. Update on imaging of the postsurgical breast. Radiographics 2014;34:3 642-60.   3. Neal CH, ZN Yi[...]

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