MR imaging demonstration of a recurrent breast cancer following deep inferior epigastric perforator (DIEP) flap reconstruction

Two reconstruction options are routinely discussed following mastectomy in breast cancer: silicon implants or myocutaneous flaps. Recurring breast cancers have already been described within trans rectus abdominis muscle flaps (TRAM flaps). We here report the first case of breast cancer recurrence within a deep inferior epigastric posterior flap (DIEP flap) and discuss the potential of MRI in assessing the extent of recurrence within myocutaneous flaps.