TY - JOUR T1 - IMage of the month—quiz case AU - Wassef SN, Chiu ES, Alabbas HH, Kandil E Y1 - 2010/05/01 N1 - 10.1001/archsurg.2010.67-a JO - Archives of Surgery SP - 497 EP - 497 VL - 145 IS - 5 N2 - 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. SN - 0004-0010 M3 - doi: 10.1001/archsurg.2010.67-a UR - http://dx.doi.org/10.1001/archsurg.2010.67-a ER -