PURPOSE: To evaluate findings from routine mammographic screenings in @entity1 with transverse rectus abdominis musculocutaneous (TRAM) flap reconstructions. MATERIALS AND METHODS: During a 25-month study period, 214 consecutive screening mammograms in 113 asymptomatic @entity1 (mean age, 51 years) with TRAM flap reconstructions were obtained. Mastectomies were performed for @entity5 in 106 (94%) of the 113 @entity1 and for prophylaxis in seven (6%). Prospectively, a Breast Imaging Reporting and Data System (BI-RADS) assessment category 1-5 was assigned to each mammogram. Surgical, medical, pathologic, and radiographic records were retrospectively reviewed. CIs were determined by the normal approximation to the binomial distribution. RESULTS: Seven (3%) of 214 examinations were BI-RADS category 4 or 5. Six (86%) of seven @entity1 underwent biopsy. Two (33%) of these six biopsies @entity513 . @entity5 detection rate for mammography was 1.9% (two of 106) (95% CI: 0.33%, 7.32%) for @entity1 with reconstruction for @entity0 during the 2-year period. One (6%) of 16 BI-RADS category 3 examinations later proved to be @entity513 at follow-up. No interval @entity5 was discovered in 171 cases of BI-RADS category 1 or 2 examinations with 1-year follow-up. No @entity5 occurred in @entity1 who underwent prophylactic mastectomy. A biopsy positive predictive value of 33% (95% CI: 6%, 76%) was observed. CONCLUSION: Screening mammography of TRAM flap-reconstructed breasts enables detection of nonpalpable @entity5 before clinical examination.

Mammographic screening of TRAM flap breast reconstructions for detection of nonpalpable recurrent XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer'] @entity513 :: ('MESH:D044584', 'Disease') :: ['demonstrated invasive ductal carcinoma', 'invasive ductal carcinoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancers', 'cancer', 'Cancer']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
