J Korean Soc Radiol.  2010 Jul;63(1):79-82. 10.3348/jksr.2010.63.1.79.

Epidermal Inclusion Cyst after Breast Reconstruction with TRAM Flaps

• Kang EJ
• Lee JH
• Kim EK
• Park YM
• Jung JS
• Kown H
• Ha DH
• Nam KJ

• KMID: 2208891
• DOI: http://doi.org/10.3348/jksr.2010.63.1.79

Abstract

We report our experience about a case of an epidermal inclusion cyst in a 50-year-old female who underwent a total mastectomy and breast reconstruction with TRAM (transverse rectus abdominis myocutaneous) flaps for the breast cancer. We also discussed the radiologic possibilities of the epidermal inclusion cyst after having undergone reconstruction surgery.

MeSH Terms

Breast
Breast Neoplasms
Epidermal Cyst
Female
Humans
Mammaplasty
Mammography
Mastectomy, Simple
Middle Aged
Rectus Abdominis

Figure

• 

  Fig. 1 A. 6-month follow-up (postoperative), mediolateral oblique view of the left breast. The mammogram shows an oval-shaped, circumscribed partially indistinct marginal isodense mass (arrows) in the 2 o'clock position of the left breast. B. 14-month follow-up (postoperative), mediolateral oblique view of the left breast. The mammography shows an increase in size of a previously detected mass in the 2 o'clock position in the left breast (10-13 mm in diameter). C. Ultrasonography shows a well-defined hypoechoic oval mass (arrows) with internal heterogeneous echogenicity and mild posterior acoustic enhancement. The lesion is located in the subcutaneous fat layer. D. The histology specimen shows a cyst which is lined by stratified squamous epithelium and filled with keratin flakes.

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