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How easy is local recurrence to detect after
flap based oncoplastic surgery
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Level 1 and 2 procedures just move normal parenchyma around but
may cause additional scarring. Recurrence is usually easy to see on
mammograms. Little published about diagnostic delay but 1
personal experience of recurrence being called scarring on
mammography for 6 months or so until symptomatic biopsy.
•
For LD miniflaps a large series showed 21 local recurrences out of
261 cases with mean follow up of 10 years (Mele et al, 2017) and
noted that lesions were found by palpation of easy to see on
mammography.
•
In lipomodelling cases, calcifications due to fat necrosis have a typical
appearance and are not usually mistaken for recurrence.