Fat necrosis in a TRAM flap

Discussion:

This case demonstrates focal fat necrosis in the reconstructed left breast. The reconstructed breast does not develop cysts and these lesions should not be labeled as such. The lesions, in this case, have not calcified, but the typical peripheral curvilinear calcifications can follow later.

Imaging of the reconstructed breast is accepted practice and in theory, would pick up any new cancer in any residual breast tissue that may have been left behind after the previous mastectomy 2.

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