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BACKGROUND: Breast reconstruction is performed with increasing frequency and has become important in the treatment of mastectomy patients. METHODS: The development of recurrent carcinoma after a mastectomy and transverse rectus abdominus myocutaneous (TRAM) flap procedure is described. RESULTS: The lesion was nonpalpable and was detected by mammography. CONCLUSION: This case raises questions about the practice of not performing postreconstruction mammography for detection of local recurrence after mastectomy.
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Mund et al. (1994) studied this question.
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