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Surgical Case Reports
Fig. 5 | Surgical Case Reports

Fig. 5

From: Flap revascularization in patients following immediate reconstruction using an autologous free dermal fat graft for breast cancer: a report of two cases

Fig. 5

Ultrasound (US) and contrast-enhanced ultrasound (CEUS) were performed in case 1 (a, upper line) and case 2 (b, lower line) over 3 years after surgery. In case 1, the graft is detected as a circumscribed oval and heterogeneous low echoic mass on US. This mass is coated by a smooth capsule with a high echogenic structure (a, left panel). CEUS shows no blood flow into the mass from the outside fat tissue (a, right panel). In case 2, the graft is seen as a circumscribed oval and heterogeneous low echoic mass on US, very similar to case 1. CEUS shows blood flow into the graft mainly from the retro-mammary fat side, which begins approximately 10 s after intravenous administration of contrast agent (center panel). In the mass, several blood flows are observed with persistent enhancement without attenuation once the vessels are enhanced for 30 s after administration (right panel)

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