Synopsis

Keywords: Body: Breast

Imaging the treated and reconstructed breast could be a challenge.

Knowledge of the type of reconstruction is essential to tailor the MRI protocol. Current techniques of reconstruction include implants, autologous tissue reconstruction and fat grafting.

Although breast cancer recurrence in this setting is rare, one should never overlook this possibility.

Breast-Implant related Anaplastic Large Cell Lymphoma is a rare entity, commonly presenting as large fluid collection typically developing at least more than one year after receiving an implant (average after 8-10 years). CD30 immune staining is required after fluid drainage to establish the diagnosis.

As population ages, the incidence of breast cancer and therefore need for breast reconstruction would be expected to increase. The many reconstructive options available and the changing aspects of the field make this a complex area of plastic surgery, requiring knowledge and expertise in many different reconstructive options but also familiarity with the technical improvements influencing patient care. A successful reconstruction starts with correct planning but also adjustment to the needs of every woman. Two major types of breast reconstruction can be distinguished: Breast Implants and Autologous Myocutaneous flaps. Both present advantages and disadvantages. Autologous fat grafting is also commonly used, mainly in complement of the above-mentioned techniques. MRI is the modality of choice for evaluating breast reconstruction. Knowledge of the type of reconstruction is preferable to provide the maximum of pertinent information and avoid false positives. Early complications include mainly seroma, hematoma, and infection. Late complications depend on the type of reconstruction. Implant rupture is quite common and related to the age of the implant. Depending on the implant type, specific MRI signs can be depicted. Implant contraction is also frequently encountered. In case of myocutaneous flap, fat necrosis, fibrosis and vascular compromise represent the most common complications. Late cancer recurrence is much less common; however, one should always be aware of this possibility. A recent late complication related to textured-shell silicone implants is implant-related large cell anaplastic lymphoma. Although subject to a lot of discussion, this entity remains rare. During this lecture, the various types of breast reconstruction will be presented, with emphasis on pertinent imaging findings and complications.

Acknowledgements

No acknowledgement found.