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Mammographic findings after reshaping with autoprosthesis in women undergoing contralateral breast reconstruction and mastectomy

Abstract

Aims and background

Breast reduction and mastopexy combined with inferior dermo-lipo-glandular flap (autoprosthesis) gives good breast shape, long-term projection, and upper pole fullness. We assess the impact on breast oncologic surveillance compared to other techniques.

Methods

A total of 105 patients who underwent mastectomy and reconstruction were divided into 3 groups of 35 patients each: groups 1 and 2 include patients with contralateral breast symmetrization performed with and without autoprosthesis technique, respectively. Group 3 is a control group without contralateral breast reshaping. On mammography, edema, skin thickening, architectural distortion, and calcifications were recorded, as well as further diagnostic examinations, biopsies, and surgical treatments required.

Results

Statistically significant differences (p<0.001) in the first follow-up mammography between groups 1 and 2 were stromal edema (6% vs 51%) and architectural distortion (74% vs 63%). The latest findings meant architectural distortion also have significant difference (p<0.001) in the last mammography (79% vs 66%). Microcalcification has statistically significant difference (p<0.001) in the latest postsurgical mammography, increased in group 1. Skin thickening had a similar course in either group. Mammography follow-up was not impaired in most cases notwithstanding the parenchyma distortion as compared with mammography after breast-conserving surgery. Four core biopsies were performed in both groups: 3 new breast cancers and 1 benign epithelial hyperplasia were found.

Conclusions

No difficulties were found impairing mammographic evaluation in patients treated with autoprosthesis as compared to other techniques.

Tumori 2016; 102(1): 77 - 83

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/tj.5000395

Authors

Gianfranco Scaperrotta, Emanuela Capalbo, Claudio Ferranti, Giuseppe Falco, Maurizio B. Nava, Gianni Di Leo, Monica Marchesini, Laura Suman, Pietro Panizza

Article History

Disclosures

Financial support: None.
Conflict of interest: None.

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Authors

Affiliations

  • Department of Diagnostic Radiology 1, Breast Imaging, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan - Italy
  • Scuola di Specializzazione di Radiodiagnostica, Università degli Studi di Milano, Milan - Italy
  • Department of Anaesthesiological, Surgical and Emergency Sciences, Second University of Napoli, Napoli - Italy
  • Department of Plastic and Reconstructive Surgery, Fondazione IRCCS Istituto Nazionale Tumori, Milan - Italy
  • Servizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Milan - Italy

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