J Med Assoc Thai 2001; 84 (7):1037

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Immediate Breast Reconstruction with Free TRAM Flap: A Case Report with a 10-Year Follow-Up and Radiological Imaging
Chowchuen B Mail, Chowchuen P

Immediate breast reconstruction using free microsurgical transverse rectus abdominis flap
(free TRAM flap) has been emerging as the recommended treatment for breast cancer patients. Pro-
gress of a patient receiving this treatment was documented using a ten-year follow-up study. The
results were very satisfactory in both cosmetic appearance and therapeutic result. The surgical tech-
niques of breast mound reconstruction and subsequent nipple and alreolar reconstruction with con-
tralateral mastopexy were described. Mammographic findings of the post-reconstruction breast,
recommendation for follow-up and the use of mammography were presented. With this successful
long-term follow-up, the authors recommend immediate breast reconstruction using free TRAM
flap as another option for breast cancer treatment.
Key word : Breast Reconstruction, Free TRAM Flap, Long-Term Follow-up, Mammography

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