Diffuse FDG Uptake Due to Fat Necrosis Following Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Reconstruction
ABSTRACTWe report a case of a 57-year-old female patient with right breast invasive ductal carcinoma. Bilateral mastectomy and TRAM flap reconstructions were performed. Postoperatively, a palpable focus was identified within the left breast. PET/CT showed hypermetabolism throughout the reconstructed...
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| Veröffentlicht in: | Clinical nuclear medicine 2013-08, Vol.38 (8), p.652-654 |
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| creator | Dobbs, Nathan B Latifi, Hamid R |
| description | ABSTRACTWe report a case of a 57-year-old female patient with right breast invasive ductal carcinoma. Bilateral mastectomy and TRAM flap reconstructions were performed. Postoperatively, a palpable focus was identified within the left breast. PET/CT showed hypermetabolism throughout the reconstructed left breast, correlating with mixed fat attenuation and inflammatory soft tissue. MRI showed extensive fat necrosis/oil cyst formation in the left breast. As a TRAM flap reconstruction with fat-rich tissue can be damaged intraoperatively due to surgical manipulation, abnormal FDG uptake in this setting is more likely related to fat necrosis than recurrent tumor. |
| doi_str_mv | 10.1097/RLU.0b013e31828e9948 |
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Bilateral mastectomy and TRAM flap reconstructions were performed. Postoperatively, a palpable focus was identified within the left breast. PET/CT showed hypermetabolism throughout the reconstructed left breast, correlating with mixed fat attenuation and inflammatory soft tissue. MRI showed extensive fat necrosis/oil cyst formation in the left breast. As a TRAM flap reconstruction with fat-rich tissue can be damaged intraoperatively due to surgical manipulation, abnormal FDG uptake in this setting is more likely related to fat necrosis than recurrent tumor.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/RLU.0b013e31828e9948</identifier><identifier>PMID: 23640233</identifier><language>eng</language><publisher>United States: by Lippincott Williams & Wilkins</publisher><subject>Biological Transport ; Breast Neoplasms - surgery ; Carcinoma, Ductal, Breast - surgery ; Fat Necrosis - diagnostic imaging ; Fat Necrosis - etiology ; Fat Necrosis - metabolism ; Female ; Fluorodeoxyglucose F18 - metabolism ; Humans ; Mammaplasty - adverse effects ; Middle Aged ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - etiology ; Postoperative Complications - metabolism ; Radiography ; Radionuclide Imaging ; Rectus Abdominis - surgery</subject><ispartof>Clinical nuclear medicine, 2013-08, Vol.38 (8), p.652-654</ispartof><rights>2013 by Lippincott Williams & Wilkins</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3568-62134ffb1d1d792f643e684551f92c8203e774482f1fa7248439bd102e4004293</citedby><cites>FETCH-LOGICAL-c3568-62134ffb1d1d792f643e684551f92c8203e774482f1fa7248439bd102e4004293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23640233$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dobbs, Nathan B</creatorcontrib><creatorcontrib>Latifi, Hamid R</creatorcontrib><title>Diffuse FDG Uptake Due to Fat Necrosis Following Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Reconstruction</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>ABSTRACTWe report a case of a 57-year-old female patient with right breast invasive ductal carcinoma. 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As a TRAM flap reconstruction with fat-rich tissue can be damaged intraoperatively due to surgical manipulation, abnormal FDG uptake in this setting is more likely related to fat necrosis than recurrent tumor.</description><subject>Biological Transport</subject><subject>Breast Neoplasms - surgery</subject><subject>Carcinoma, Ductal, Breast - surgery</subject><subject>Fat Necrosis - diagnostic imaging</subject><subject>Fat Necrosis - etiology</subject><subject>Fat Necrosis - metabolism</subject><subject>Female</subject><subject>Fluorodeoxyglucose F18 - metabolism</subject><subject>Humans</subject><subject>Mammaplasty - adverse effects</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - metabolism</subject><subject>Radiography</subject><subject>Radionuclide Imaging</subject><subject>Rectus Abdominis - surgery</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFuEzEQhi0EoqHlDRDysRy2tceO1z5GDVuQUipFyXnl3R3Tpc462N5GfXs2SuHAoaeZkb5_xv4I-cTZFWemvF6vtlesYVyg4Bo0GiP1GzLjc6EKBmDekhkTShSmVHBGPqT0izGuuJLvyRkIJRkIMSN52Ts3JqTV8pZu99k-Il2OSHOglc30B7YxpD7RKngfDv3wk26iHdITximzxjaPiS6aLuz6YerunkM7ZjtgmIbLzXpx94VW3u6PZBhSjmOb-zBckHfO-oQfX-o52VZfNzffitX97febxapoxVzpQgEX0rmGd7wrDTglBSot53PuDLQamMCylFKD486WILUUpuk4A5SMSTDinFye9u5j-D1iyvWuTy16f3phzYUxoIQBmFB5Qo__TRFdvY_9zsbnmrP66LuefNf_-55in18ujM0Ou3-hv4InQJ-AQ_B5kvboxwPG-gGtzw-v7_4DO8ONFQ</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Dobbs, Nathan B</creator><creator>Latifi, Hamid R</creator><general>by Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201308</creationdate><title>Diffuse FDG Uptake Due to Fat Necrosis Following Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Reconstruction</title><author>Dobbs, Nathan B ; Latifi, Hamid R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3568-62134ffb1d1d792f643e684551f92c8203e774482f1fa7248439bd102e4004293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biological Transport</topic><topic>Breast Neoplasms - surgery</topic><topic>Carcinoma, Ductal, Breast - surgery</topic><topic>Fat Necrosis - diagnostic imaging</topic><topic>Fat Necrosis - etiology</topic><topic>Fat Necrosis - metabolism</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18 - metabolism</topic><topic>Humans</topic><topic>Mammaplasty - adverse effects</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - metabolism</topic><topic>Radiography</topic><topic>Radionuclide Imaging</topic><topic>Rectus Abdominis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dobbs, Nathan B</creatorcontrib><creatorcontrib>Latifi, Hamid R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dobbs, Nathan B</au><au>Latifi, Hamid R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diffuse FDG Uptake Due to Fat Necrosis Following Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Reconstruction</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>2013-08</date><risdate>2013</risdate><volume>38</volume><issue>8</issue><spage>652</spage><epage>654</epage><pages>652-654</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>ABSTRACTWe report a case of a 57-year-old female patient with right breast invasive ductal carcinoma. Bilateral mastectomy and TRAM flap reconstructions were performed. Postoperatively, a palpable focus was identified within the left breast. PET/CT showed hypermetabolism throughout the reconstructed left breast, correlating with mixed fat attenuation and inflammatory soft tissue. MRI showed extensive fat necrosis/oil cyst formation in the left breast. As a TRAM flap reconstruction with fat-rich tissue can be damaged intraoperatively due to surgical manipulation, abnormal FDG uptake in this setting is more likely related to fat necrosis than recurrent tumor.</abstract><cop>United States</cop><pub>by Lippincott Williams & Wilkins</pub><pmid>23640233</pmid><doi>10.1097/RLU.0b013e31828e9948</doi><tpages>3</tpages></addata></record> |
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| ispartof | Clinical nuclear medicine, 2013-08, Vol.38 (8), p.652-654 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological Transport Breast Neoplasms - surgery Carcinoma, Ductal, Breast - surgery Fat Necrosis - diagnostic imaging Fat Necrosis - etiology Fat Necrosis - metabolism Female Fluorodeoxyglucose F18 - metabolism Humans Mammaplasty - adverse effects Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - etiology Postoperative Complications - metabolism Radiography Radionuclide Imaging Rectus Abdominis - surgery |
| title | Diffuse FDG Uptake Due to Fat Necrosis Following Transverse Rectus Abdominus Myocutaneous (TRAM) Flap Reconstruction |
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