No Abstract Available.
Breast* ; Mastectomy, Subcutaneous* ; Nipples*

Accessory breast tissue is a developmental anomaly defined as persistence of breast tissue along the embryonic mammary line in the mid-thoracic region. Rarely, an abnormally located remnant of the line persists and develops into completely formed mammary glands. A 61-year-old woman presented with a pedunculated mass on the mid-lower abdomen, below the umbilicus. She detected a pea-sized nodule a few decades ago and it gradually enlarged since 1 year ago. There was no pigmented prominence resembling a nipple. Histological finding revealed lobules of the breast forming islands of glandular tissue. We believe this is an unusual case of accessory breast tissue mimicking soft fibroma as a pedunculated mass.
Abdomen ; Breast* ; Female ; Fibroma* ; Humans ; Islands ; Mammary Glands, Human ; Middle Aged ; Nipples ; Umbilicus

Bottoming out is the term used to describe the inferior displacement of a breast implant after breast augmentation that results in increased distance between the nipple areolar complex and the inframammary fold. Conventional techniques for correcting bottoming out involve capsulectomy and capsulorrhaphy via an inframammary fold incision that is prone to cause large scar and increases the patient's burden. However, using an endoscopic approach via the axilla, we are able to correct bottoming out, resulting in a smaller scar and shorter recovery time. In this article, we present a novel and simple method to correct bottoming out using endoscopy and electrocauterization.
Axilla ; Breast Implants ; Breast* ; Cicatrix ; Endoscopy ; Nipples

In the case of radiotherapy following breast conservation therapy for breast cancer patients, the characteristic of skin dose was investigated in the treatment of intensity modulated radiation therapy (IMRT) for breast cancer patients by comparing and analysing entrance skin dose irradiated during radiotherapy using tangential technique radiotherpy, and IMRT. The calculation dose irradiated to breast skin was compared with TLD measurement dose in treatment planning by performing the two methods of radiotherapy using tangential technique, and IMRT in treatment planning equipment. The skin absorbed dose was measured to pass a nipple by spacing of 1 cm distance from center to edge of body. In the radiotherapy of tangential technique, for the irradiation of 180 cGy to PTV, the calculation dose was ranged from 103.6 cGy to 155.2 cGy, measurement dose was ranged from 107.5 cGy to 156.2 cGy, and skin dose in the center was maximum 1.45 times more irradiated than that in the edge. In the IMRT, for the irradiation of 180 cGy to PTV, the calculation dose was ranged 9.8 cGy at 80.2 cGy, measurement dose was ranged 8.9 cGy at 77.2 cGy, and skin dose in the center was maximum 0.23 times less irradiated than that in the edge. IMRT was more effective for skin radiation risks because radiation dose irradiated to skin in IMRT was much less than that in radiotherapy of tangential field technique.
Breast Neoplasms* ; Breast* ; Humans ; Nipples ; Radiotherapy ; Skin*

Erosive adenomatosis of the nipple is a benign tumor originated from the lactiferous duct of the breast. A 41-year-old woman presented with one year history of painful and pruritic erosion of the right nipple. A biopsy specimen showed tubular structures which were lined by inner columnar cells showing secretory properties into the lumen and peripherally located cuboidal cells. The papillary projections of the luminal cells into the lumen were also seen. We, herein, report a rare case of erosive adenomatosis of the nipple.
Adult ; Biopsy ; Breast ; Female ; Humans ; Nipples* ; Phenobarbital

The nipple-areola is the integral part of the breast. The purpose of nipple reconstruction is the creation of similar nipple like the opposite one in aspects of diameter, projection, colon and texture. To achieve these goals there have been many methods in the nipple reconstruction. Among these methods local chest flap is the popular one in nipple reconstruction. And the second method is nipple sharing and composite grafting of the opposite nipple. We compared the late result of the difference of nipple projection between two methods in 31 nipple reconstruction cases. The height of the nipple reconstructed by local flap was 8.3mm at the postoperative 2 weeks. But late result of it was 2.2mm, so 73.5% loss of nipple height was observed at that time. It was significantly lowered than one by nipple sharing method. Then most of them needed secondary surgery such as tattooing, additional augmented graft. However the height of the nipple reconstructed by nipple sharing was 6.9mm at the postoperative 2 weeks. Late result of it was 6.3mm, then only 8.7% loss of nipple projection showed. There was a significant loss of nipple protruding in local flap method comparing with nipple sharing method. The color matching and texture were more natural and similar to the opposite nipple in nipple sharing method than local chest flap ones. However nipple sharing method has many limitations in small or flat nipples. But these limitations can be gotten over by selecting the proper sharing method and including surround areolar tissue. We concluded that the projection of the nipple reconstructed by sharing method was significantly well maintained and more effective than one reconstructed by local chest flap. And the late result of local chest flap method was poor in the projection of nipple.
Breast ; Colon ; Nipples* ; Tattooing ; Thorax* ; Transplants

A study of the volume and linear measurements of the breast to determine new nipple positions for 142 subjects was undertaken. Volume determination was done by using the Grossman-Roudner device. The size and shape of the female breast may differ significantly, and such size and linear measurements have to be measured accurately prior to breast aesthetic surgery. Statistical analysis of these results are closely related to physical constitution(height, weight, chest circumference). There have been increasing changes in linear measurement and decreasing changes in breast volume during the last 10 years, The results were as follows: 1) the mean distance from the midclavicular point to the nipple was 19.5cm, the distance from the sternal notch to the nipple was 19.4cm, the distance between nipples was 18.6cm, and the areolar diameter was 3.3cm, 2) the regression equation for the midclavicular point to the nipple was 7.236+ 0.00077x height(cm)+ 0.233 x weight(kg), for the sternal notch to the nipple was 8.845-0.0039 x height(cm)+ 0.214x weight(kg), for the distance between nipples was 11.192 - 0.0033xheight(cm)+ 0.151x weight(kg), and for the areolar diameter was 4.031+0.02xheight(cm)-0.048 x weight(kg),3) the mean value of breast volume of the left side was 209.6cc, and that of the right side was 211.8cc, 4) the regression equation for the mean breast volume was -137.673 + 6.668 x weight(kg), which was equal to -528.414 + 9.115x chest circumference under the axilla(cm) and -468.420 + 8.298 x chest circumference across the nipple (cm). In conclusion, these data could be useful for numerous aspects of breast surgery, including augmentation mammoplasty, mastopexy, reduction mammoplasty, and correction of asymmetrical breasts as the standard for Korean females, if we know the body constituents (weight, chest circumference) before surgery.
Breast* ; Female* ; Humans ; Mammaplasty ; Nipples ; Thorax

The existence of numerous methods of nipple reconstruction in the literature is indicative of the difficulties encountered while duplicating a normal nipple. We have performed breast reconstruction with free TRAM flap for last 10 years, and after the breast mound reconstruction we have performed nipple reconstruction with three different methods -star flap, double opposing tab flap, and C-V flap. We compared the final outcomes of these three reconstruction methods. From March 1992 to February 2001, we experienced the 82 cases of the breast reconstruction with free TRAM and the nipples were reconstructed in 54 cases by the same surgeon. 9 cases were reconstructed with star flaps, 19 cases were reconstructed with double opposing tab flaps and 26 cases were reconstructed with C-V flaps. We compared the results of the difference of the nipple projection and the patients' satisfaction in 2 weeks and 12 months after the operation. In 12 months after the operation, the average projection of the nipple was 4.2 mm in star flap, 4.5 mm in double opposing tab flap and 6.5 mm in C-V flap. The average reduction rate of the nipple projection was 46.6%, 57.4% and 32.5% respectively in 1 year after the operation. We considered that the star flap often showed the partial necrosis on the sharp tip of the flap and the contracture of the scar tissue. We assumed that double opposing tab flap showed the good projection initially. However, as time goes, it showed a widening shape on the base of nipple and disfiguring mound of breast because of high tension in the closure. The C - V flap showed round tip and less disfiguring mound of breast because of less tension and less spreading, so it shows the least reduction rate of nipple projection. We concluded that the reconstructed nipple with C-V flap showed the least reduction of nipple projection and the most satisfactory result among these 3 methods. We recommend that the nipple should be reconstructed initially much larger than the opposite nipple considering about one-third reduction rate 1 year after the surgery.
Breast ; Cicatrix ; Contracture ; Female ; Mammaplasty ; Necrosis ; Nipples*

The aim of this study is to consider breast imagery in art as depicted through western painting. Twenty western art paintings were collated. Most of the sample paintings were created from the mid-nineteenth century to the late twentieth century and some are from the Renaissance period. Ten anthropometric items were used to measure 15 distances between two landmarks and 3 angles between three points. The distance from the nipple to the sternal notch and to the midclavicular point was the same and they were 0.46 of the distance from the sternal notch to the umbilicus. The shape of the projection of the breast was almost an isosceles triangle and the altitude of the triangle was at a proportion of 0.45 of the bottom length and 0.16 of the distance from the sternal notch to the umbilicus. The distance between the lateral ends of the breasts was 2.14 times the facial width and the distance between nipples was 1.36 times the facial width. Proportions from works of art are more ideal and attractive than clinically measured proportions. The desirable ratios measured from historical paintings might be useful in planning breast surgeries.
Altitude ; Breast* ; Nipples ; Paint* ; Paintings* ; Umbilicus

Spontaneous bloody nipple discharge from a single duct is a significant clinical problem. When performing preoperative marking of the discharging duct, it is sometimes difficult to identify the duct owing to intermittent discharge. Precise preoperative marking of the discharging duct and intraductal lesions is very important to avoid unnecessary wide excision of breast tissue or failure to remove the cause of nipple discharge. We herein present a case of preoperative ultrasound-guided indigo carmine staining in a patient with no discharge on the day of surgery. When a dilated duct is visualized on ultrasound, the targeted duct can be localized using indigo carmine staining, and it is possible to perform a precise minimal volume microdochectomy.
Breast ; Humans ; Indigo Carmine* ; Nipples ; Ultrasonography