As I understand it, if margins are positive, and there are cancer cells remaining, many surgeons will return to surgery to remove any positive margins. If this is not your scenario, then there are a number of options for imaging a mastectomy site; sonography and/or MRI are the most common. If you have a reconstructed breast, with either an implant, or TRAM-flap, a mammogram can be performed but this is not done routinely. Also physical exam is excellent, especially if the breast has not been reconstructed.
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