Published online Aug 28, 2017. doi: 10.4329/wjr.v9.i8.321
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
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.
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.