RT Journal
A1 Wassef SN, Chiu ES, Alabbas HH, Kandil E
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2010
FD May 1
VO 145
IS 5
SP 497
OP 497
DO 10.1001/archsurg.2010.67-a
UL http://dx.doi.org/10.1001/archsurg.2010.67-a
AB 
A 55-year-old woman diagnosed with left breast adenocarcinoma was evaluated for a palpable mass on her left chest. At age 30 years, she underwent modified radical mastectomy for stage III disease and immediate placement of a silicone implant with latissimus dorsi flap reconstruction. At age 55 years, she was found to have a 4-cm palpable mass in the surgical field. Metastatic workup revealed evidence of a 4-cm subpectoral mass lateral to the breast implant with positive uptake on computed tomography (CT) and positron emission tomography. The patient continued to be asymptomatic; conservative, close follow-up was planned.