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Mammographic Appearance of Lymphedema in a TRAM-Reconstructed Breast

Arcel P. Deguzman1, Kimmie L. Bui1, Joanne J. Lenert2, Jocelyn A. Rapelyea1 and Rachel F. Brem1

1 Breast Imaging and Intervention Center, Department of Radiology, The George Washington University Medical Center, 2150 Pennsylvania Ave., NW, Washington, DC 20037.
2 Division of Plastic Surgery, Department of Surgery, The George Washington University Medical Center, Washington, DC 20037.



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  		Fig. 1A. —43-year-old woman with bilateral TRAM. Mammograms show normal mammographic appearance in TRAM flap. Right mediolateral oblique (A) and right craniocaudal (B) views show predominately fatty tissue with anterior soft-tissue density.

 


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  		Fig. 1B. —43-year-old woman with bilateral TRAM. Mammograms show normal mammographic appearance in TRAM flap. Right mediolateral oblique (A) and right craniocaudal (B) views show predominately fatty tissue with anterior soft-tissue density.

 


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  		Fig. 2A. —43-year-old woman with bilateral TRAM. Mammograms show diffuse lymphedema in TRAM flap. Left mediolateral oblique (A) and left craniocaudal (B) mammograms show skin thickening and diffuse increased density throughout flap.

 


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  		Fig. 2B. —43-year-old woman with bilateral TRAM. Mammograms show diffuse lymphedema in TRAM flap. Left mediolateral oblique (A) and left craniocaudal (B) mammograms show skin thickening and diffuse increased density throughout flap.

 


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  		Fig. 3A. — 43-year-old woman with bilateral TRAM. Pathology of full-thickness biopsy shows dilated lymphatic spaces and no evidence of breast cancer.

 


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  		Fig. 3B. — 43-year-old woman with bilateral TRAM. Pathology of full-thickness biopsy shows dilated lymphatic spaces and no evidence of breast cancer.

 

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