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World J Radiol. Aug 28, 2017; 9(8): 321-329
Published online Aug 28, 2017. doi: 10.4329/wjr.v9.i8.321
Imaging of the treated breast post breast conservation surgery/oncoplasty: Pictorial review
Subhash K Ramani, Ashita Rastogi, Abhishek Mahajan, Nita Nair, Tanuja Shet, Meenakshi H Thakur
Subhash K Ramani, Department of Radiodiagnosis, JJ Hospital, Mumbai 400008, India
Subhash K Ramani, Ashita Rastogi, Abhishek Mahajan, Meenakshi H Thakur, Department of Radiodiagnosis and Imaging, Tata Memorial Centre, Mumbai 400012, India
Nita Nair, Department of Surgical Oncology, Tata Memorial Centre, Mumbai 400012, India
Tanuja Shet, Department of Pathology, Tata Memorial Centre, Mumbai 400012, India
Author contributions: All authors are the guarantors of integrity of entire study; Ramani SK designed the study; Ramani SK, Rastogi A, Mahajan A and Thakur MH performed data analysis/interpretation; Ramani SK and Rastogi A performed the literature research; all authors contributed to manuscript drafting or manuscript revision for important intellectual content; all authors gave manuscript final version approval and manuscript editing; all authors take responsibility for the integrity of the data and the accuracy of the data analysis.
Conflict-of-interest statement: This manuscript is not published anywhere else; all authors conform that there is no conflict of interests (including none for related to commercial, personal, political, intellectual, or religious interests).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ashita Rastogi, DNB, Radiodiagnosis, Fellowship Cancer Imaging, Assistant Professor, Department of Radiodiagnosis and Imaging, Tata Memorial Centre, Room No. 117, Dr E Borges Road, Parel, Mumbai 400012, India. rastogia@tmc.gov.in
Telephone: +91-99-69492798 Fax: +91-22-24146937
Received: January 20, 2017
Peer-review started: January 20, 2017
First decision: March 27, 2017
Revised: May 1, 2017
Accepted: May 12, 2017
Article in press: May 15, 2017
Published online: August 28, 2017
Processing time: 217 Days and 1.9 Hours
Abstract

Mammographic appearance of the normal breast is altered in the post-operative setting. It is essential to be aware of the normal findings as well as to identify features of recurrent disease with particular emphasis on radiological-pathological concordance. Digital breast tomosynthesis and volumetric breast density add incremental value in this clinical setting. We present a pictorial review of various cases to illustrate normal post-operative findings as well as mammographic features suspicious for recurrent disease.

Keywords: Mammography; Digital breast tomosynthesis; Breast conservation surgery; Post breast-conserving therapy imaging; Breast cancer

Core tip: Mammographic imaging in patients after breast conservation surgery is challenging because surgery alters the normal breast architecture. The distinction of normal post-operative changes from true findings of recurrence becomes demanding even for a breast imager making it essential to update our knowledge in the subject. In the recent times digital breast tomosynthesis and volumetric breast density are adding an incremental value in this clinical setting.