J Korean Radiol Soc.  1998 Aug;39(2):413-416. 10.3348/jkrs.1998.39.2.413.

Usefulness of Mammography of Mastectomy Site for Breast Cancer

• Son EJ
• Kim EK
• Oh KK
• Huh YM
• Lee KS
• Lee HJ

• KMID: 2024860
• DOI: http://doi.org/10.3348/jkrs.1998.39.2.413

Abstract

PURPOSE: To evaluate the usefulness of routine mammography in the detection of local recurrence of breast cancer after mastectomy.
MATERIALS AND METHODS
The clinical and mammographic records of 45 patients whounderwent modified mastectomy due to breast cancer were prospectively reviewed. The methods of mastectomy wereAuchincloss (n=36), Patey (n=8) and simple resection (n=1).
RESULTS
s Among the 45 patients, five palpable lesionswere detected on physical examination: two of the five were confirmed as tumor recurrence; on mammography, anodule with microcalcifications and low-density lesion was seen, but the other three were benign. In 40 patientsthe results of palpation were negative and during follow-up (mean, 10.9 months ) no newly developed lesions wereseen. On mammography, ten of 45(22.2%) patients showed abnormalities, namely local skin thickening(n=4,40%),increased density in subcutaneous tissue(n=2,20%), nodules(n=2,20%), benign calcification(n=1,10%) and focallow-density lesion(n=1,10%), but only one case with a nodule was confirmed to be recurrence.
CONCLUSION
Routinemammography of a mastectomy site was not useful for the differentiation of palpable lesions.

Keyword

Breast neoplasm, postoperative; Breast neoplasm, diagnosis; Breast neoplasms, radiography

MeSH Terms

Breast Neoplasms*
Breast*
Follow-Up Studies
Humans
Mammography*
Mastectomy*
Mastectomy, Modified Radical
Palpation
Physical Examination
Prospective Studies
Recurrence
Skin