What is included in follow-up treatments for maintenance of TRAM breast reconstruction?

Updated: Jul 28, 2021
  • Author: Michael R Zenn, MD, MBA, FACS; Chief Editor: James Neal Long, MD, FACS  more...
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Once the patient and surgeon are satisfied with the breast reconstruction, maintenance is minimal. [9]

In some instances, surgical oncologists continue to use mammography of the reconstructed breast in follow-up care.

The patient should continue to perform self-examinations.

The surgeon must investigate new lumps or masses by performing a physical examination, mammography, or, if indicated, biopsy.

Fat necrosis, if present, is noted early on as an area of firmness that does not resolve over time. Many of these firm areas require performing an early needle biopsy for pathologic confirmation and subsequently indicate fat necrosis. During the first revision, remove all areas of fat necrosis and revise the breast mound appropriately to obtain a soft mound without palpable masses that allows surveillance of recurrent breast cancer.

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