[Value of US imaging following mastectomy].
OBJECTIVE
To assess the value of US of the mastectomy site at the time of follow-up of the contralateral residual breast.


METHODS
Over a 5 year period, 251 patients with previous mastectomy underwent 505 unilateral mammographies with US of the mastectomy site. The time delay between imaging and mastectomy ranged between 1-15 years, with a mean of 7.5 years. Lesions at the mastectomy site were classified as follows: BIRADS 2 for a cyst or prominent edema, BIRADS 3 for a lymph node with preserved fatty hilum or mildly echogenic cyst, BIRADS 4 for well-defined hypoechoic lesions, and BIRADS 5 for ill-defined lesions.


RESULTS
None of the lesions classified as BIRADS 1, 2 or 3 was malignant. Eleven lesions were classified as BIRADS 4: 3 benign lesions, 7 malignant lesions, and 1 non-verified lesion. No lesion was classified as BIRADS 5.


CONCLUSIONS
Systematic US evaluation of the mastectomy site appears warranted since only 1 of 7 malignant lesions was clinically palpable prior to US whereas all were retrospectively palpable after US.
Kanso
H
H
Service d'Imagerie Médicale, Hôtel-Dieu de France, rue Alfred Naccache, Beyrouth, Liban.
Kazzi
H
H
Menassa-Moussa
L
L
Abi Khalil
S
S
Ghosn
M
M
Chahine
G
G
Tohmé
C
C
Aoun
N
N
Ghossain
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D014463:Ultrasonography