What is included in the long-term monitoring following a unipedicled TRAM breast reconstruction procedure?

Updated: Feb 14, 2019
  • Author: Michael R Zenn, MD, MBA, FACS; Chief Editor: James Neal Long, MD, FACS  more...
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Answer

See the list below:

  • Once the patient and surgeon are satisfied with the breast reconstruction, maintenance is minimal.

  • Mammography of the reconstructed breast is not required.

  • The patient should continue self-examination.

  • Examine new lumps or masses by physical examination, mammography, or, if indicated, by biopsy.

  • If present, fat necrosis is noted early as an area of firmness that does not resolve over time. During the first revision, remove all areas of fat necrosis to obtain a soft mound without palpable masses, allowing for surveillance for recurrent breast cancer.


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