Volume 11 Supplement 2

Royal College of Radiologists Breast Group Annual Scientific Meeting

Open Access

Breast imaging and biopsy in women after therapeutic mammoplasty: comparison with women after wide local excision

  • S Taneja1,
  • S Doyle1,
  • S McCulley1,
  • D Macmillan1 and
  • A Evans1
Breast Cancer Research200911(Suppl 2):P19

https://doi.org/10.1186/bcr2389

Published: 26 October 2009

Introduction

Therapeutic mammoplasty (TM) is being increasingly performed to allow breast conservation in women with breasts suitable for some form of breast reduction.

This study was performed to compare the ipsilateral post-operative mammography findings, frequency of ultrasound and image-guided biopsy post-TM with a group of women who had undergone wide local excision (WLE).

Methods

Ninety-one women post-TM were compared with 86 women post-WLE. All women had intact breast irradiation and were of similar age (mean age 57 years and 56 years, respectively), had had at least one post-operative mammogram and the same surgeon was present at all operations (DM).

The presence and type of mammographic calcification, and focal and generalised reaction were noted as were ultrasound (US) examination and image guided biopsies. The chi-square test and Fisher's exact test were used for statistical analysis.

Results

The average length of follow-up in the WLE group was longer than in the TM group (5.3 years versus 2.9 years). Rates of postoperative site mammographic calcification and calcification requiring image-guided biopsy were similar in both groups (31 of 86 (36%) versus 31 of 91 (34%) and 2 (2%) versus 2 (2%), respectively. Rates of US and image-guided biopsy were also similar: 26 of 86 (30%) versus 23 of 91 (25%) and 10 of 98 (12%) versus 9 of 91 (10%), respectively. Having corrected for length of follow-up, no statistically significant difference in the frequency of features analysed was observed.

Conclusion

TM is not associated with greater post-operative mammographic calcification, US examinations or image-guided biopsy.

Authors’ Affiliations

(1)
Nottingham Breast Institute

Copyright

© Taneja et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.

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