Abstract

RADIOLOGICAL CHANGINGS AFTER BREAST RECONSTRUCTION WITH FAT GRAFTING

Dr. Muhammad Atiq*, Dr. Rabiaa Mahmood Ali, Dr. Sidrah Mahmood Ali, Dr. Aaltaf Hussain

Abstract

Objective: To evaluate the breast imaging changes after fat grafting and its impact on cancer follow up. Methods: This is a retrospective observational study conducted at Nishtar Hospital, Multan on patients who underwent fat grafting for breast reconstruction. We reviewed mammographic and ultrasound images of patients. Fisher’s exact test was used to analyze results. The level of significance was set at P mean follow up was 37.4 months. Benign lumps were identified in /90cases (25 percent). Mammograms were reported as BIRADS I in 21/32 cases 72 percent) and BI-RADS II in 8/32 cases (28 percent). BI-RADs III score was reported in two patients on further follow up imaging, both were reclassified as BI-RADS II after biopsy. A total of eight patients (8.9 percent) required biopsy. No local recurrences or new cancers were observed in any patients. Conclusion: Our study suggests radiological changes after fat grafting are almost always benign with no adverse outcome on cancer follow up. Abbreviations: FG: Fat grafting, PMR: Post Mastectomy Reconstruction, WLE: Wide Local Excision, BIRADS: Breast Imaging Reporting and Data system, M: World Journal of Pharmaceutical Research SJIF Impact Factor 8.074 Volume 7, Issue 13, XXX-XXX. Review Article ISSN 2277– 7105 Mammograms, CC: Craniocaudal, MLO: Mediolateral Oblique, MRI: Magnetic Resonance Imaging, FN: Fat Necrosis.

Keywords: To evaluate the breast Nishtar Craniocaudal, Mediolateral Necrosis.