• Archives of Plastic Surgery
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• 제45권5호
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• pp.484-489
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• 2018

Large and ptotic breast reconstruction in patients who are not candidates for a transverse rectus abdominalis myocutaneous flap and revision surgery for the contralateral breast remains challenging. We developed a novel breast reconstruction technique using a latissimus dorsi myocutaneous (LD m-c) flap set at the posterior aspect of the reconstructed breast, combined with an anatomical silicone breast implant (SBI), following tissue expander surgery. We performed the proposed technique in four patients, in whom the weight of the resected tissue during mastectomy was >500 g and the depth of the inframammary fold (IMF) was >3 cm. After over-expansion of the lower portion of the skin envelope by a tissue expander, the LD m-c flap was transferred to cover the lower portion of the breast defect and to achieve a ptotic contour, with the skin paddle set at the posterior aspect of the reconstructed breast. An SBI was then placed in the rest of the breast defect after setting the LD m-c flap. No major complications were observed during the follow-up period. The proposed technique resulted in symmetrical and aesthetically satisfactory breasts with deep IMFs, which allowed proper fitting of the brassiere, following large and ptotic breast reconstruction.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.503-506
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• 2009

Purpose: Unilateral breast reconstruction after mastectomy confront the challenges of recreating a natural appearing breast mound and achieving symmetricalness of the breasts. If the patient's remaining breast is large compared to reconstructed breast, the most common procedure is reduction mammoplasty of the large breast side. The authors experienced a new method of breast reconstruction using the excess breast tissue from the contralateral breast after breast reduction. Methods: The excess tissue from the contralateral breast after vertical reduction mammoplasty with superior pedicle and remaining lower breast tissue were transferred to the mastectomy site breast through the subcutaneous tunnel on the chest wall. The main blood supplies of the flap are perforator branches of the 4th, 5th and 6th anterior intercostal artery. After elevating and detaching the flap on the lower lateral area of the breast, the turn overed flap is fixed on the upper portion of the chest wall of the mastectomy site. Results: On two cases of the breast reconstructions, remaining excess breast tissue from reduction mammoplasty was transferred to the contralateral breast side as pedicles. Both patient and operator were satisfied with the outcome of the reconstruction as the breasts were symmetrical and natural shape. Conclusion: We have performed unilateral breast reconstruction using the excess breast tissue after reduction mammoplasty of the contralateral breast. As Oriental women's breasts are relatively smaller than that of Caucasian women, delayed breast reconstruction cases of Oriental women with large breasts(macromastia) seem to be ideal for this procedure.

• 한국생활과학회지
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• 제18권6호
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• pp.1267-1276
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• 2009

The purpose of this study is to classify breast types and to inquire about characteristics depending on breast types of women subjects in their twenties. We researched size items affecting breast volume and regression equations for the prediction of breast volume, and thereby, we will be able to provide some basic data, useful to the development of the brassiere depending on breast types. As a result of categorizing the types of three breast types, "type 1" was characterized by big and greatest protrusion of the breast with large breast volume and a large bust, while "type 2" was characterized by flat breasts with the least breast volume and least bust, and "type 3" was characterized by breast location apart from the center front line. Breast volume is significant in establishment of the brassiere cup depending on breast type. Five items such as, the circumference of the breast, the length of the upper breast, the depth of the breast point, the length of the shoulder point-breast point, and the length of the inferior breast were extracted through regression equations for breast volume.

• Archives of Plastic Surgery
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• 제47권5호
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• pp.478-482
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• 2020

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has received increasing interest among plastic surgeons as a long-term complication of breast augmentation. Although the prognosis is usually good, mortality is a possible outcome. Most of the cases reported in the past two decades have been from the United States, Europe, and Australia, whereas cases of BIA-ALCL in Asia remain rare. Herein, we describe the first known case of BIA-ALCL in Thailand, in which a 32-year-old woman developed BIA-ALCL 3 years after breast augmentation using textured implants. The patient underwent bilateral removal of the implants and ipsilateral total capsulectomy. This case report-the first of its kind from Thailand-should increase awareness of BIA-ALCL among plastic surgeons in Asia. The true incidence of BIA-ALCL in Asia may be underreported.

• Archives of Plastic Surgery
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• 제33권5호
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• pp.577-580
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• 2006

Purpose: Hemangioma of the breast is an infrequent finding and usually encountered incidentally when checking for other disease. Most of hemangiomas of the breast are asymptomatic, not palpable perilobular type. Cavernous hemangioma of the breast is rare and only a few reports about this type of lesion are present. No example has been reported about reconstruction of the breast after resection of large cavernous hemangioma. Methods: We report here a case of immediate breast reconstruction using a Becker implant after subcutaneous mastectomy for a large cavernous hemangioma involving almost entire breast. Results: Symmetry is well maintained after 3 years without deformity or recurrence. Conclusion: The clinical prognosis of breast cavernous hemangioma is good after total excision and reconstruction.

• 복식
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• 제55권1호
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• pp.101-112
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• 2005

One of the curiosities harbored most by anthropologists may be why women are so different from men physically. One of such differences must be the breast. Female animals do not have such a swollen breast even when they nurse their young. We can find many Western garments highlighting the breast, but in Korea the tradition has been that the breast should not be highlighted. It was because the large breast was deemed useful that Western people appreciated it highly. In general, it is conceived that to ancient Westerners' eyes, the nursing function of the breast was very mysterious, because the food supplies were insufficient. Although the size of a breast does not affect its nursing function, Westerners may have thought that it did. To the contrary, in the societies with rich agricultural products, the breast was not much emphasized as the reproductive organs. Since people are more and more concerned about their body and the breast or one of the body parts characterizing the femininity is regarded as an important element of design, it may well be significant to research into the breast designs for development of the fashion design. With such basic conceptions in mind, this study was aimed at reviewing the artworks featuring women's breast and their historical background and thereupon, analyzing the aesthetic values of the breast-featuring designs by dividing them into four categories in large.

• Journal of Yeungnam Medical Science
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• 제38권3호
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• pp.175-182
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• 2021

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare T-cell non-Hodgkin lymphoma characterized as CD30 positive and anaplastic lymphoma kinase (ALK) negative. In 2016, the World Health Organization declared BIA-ALCL as a new disease entity. The first case of BIA-ALCL was reported in 1997, and as of July 2019, the United States Food and Drug Administration had cited a total of 573 United States and global medical device reports of BIA-ALCL, including 33 deaths. In all clinical case reports, except for those with unknown clinical history, the patient had received at least one textured surface breast implant. Although the etiology is not yet clear, chronic inflammation has been proposed as a potential precursor to tumorigenesis. The most common presentation of BIA-ALCL is peri-implant fluid collection following aesthetic or reconstructive implantation with textured surface breast implants. It can be accompanied by breast swelling, asymmetry, pain, skin lesions, lymphadenopathy, and B-type symptoms. Most cases are detected on average 7 to 10 years after implantation. Diagnostic specimens can be obtained with fine-needle aspiration or biopsy. BIA-ALCL is CD30 positive, epithelial membrane antigen positive, and ALK negative. It can be cured with complete surgical excision at the T1-T3 stage.

• 한국의류학회지
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• 제19권6호
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• pp.995-1007
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• 1995

The purpose of this study is to examine on breast shapes of elderly women and provide fundamental data for developing brassiere. Numerous anthropometric measurements and other related data from 398 subjects were analyzed by various statistical methods such as ANOVA, Correlation analysis, Factor analysis and Cluster analysis. 1. Analysis of Breast Measurements The subjects were categorized into three groups(Group I; aged 55 to 64, Group II; aged 65 to 74, Group III; aged more than 75). 1) The results of the comparative analysis of anthropometric data from three groups show that by getting older: - $\circled1$ Breast lengths, widths, heights and bust girths are decreased significantly $\circled2$ Various length measurements related to the drooping degree of breast are increased $\circled3$ Some measurements related to the volume of breast are decreased. 2) The results of the correlation analysis among measurement show that there are no directs linear relationships between under bust girth and bust drooping. Further it turned out that the cup size could be used as a factor explaining the volume of breast due to large subject variation, Thus it is required to have more specific information about the breast volume. 2. Analysis of Breast Shapes 1) From 17 measurements, 5 factor were selected as key factors for the factor analysis of breast analysis of breast shapes. The 5 factors are: $\circled1$ Drooping degree of breast $\circled2$ slope between breast and chest, width of bust point $\circled3$ Contours and prominence of breast at the point of front and side $\circled4$ Breast volume $\circled5$ Breast width. 2) We categorized the breast shapes into three types by Cluster analysis. Type 1 is the most common breast shape in elderly women. $\circled1$ Type L: Not too droopy and large breast $\circled2$ Type 2: A little droopy and small breast $\circled3$ Type 3; Very droopy and wide breast

• 대한세포병리학회지
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• 제3권2호
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• pp.67-74
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• 1992

Apocrine carcinoma is a rare form of breast malignancy and is composed of entirely or predominantly of apocrine type epithelial cells. Apocrine metaplastic cells are frequently noted in fine needle aspiration cytology(FNAC) of breast lesions, especially fibrocystic disease. These apocrine cells may occasionally be atypical, to make a diagnostic difficulty. Two cases of apocrine carcinoma of the breast diagnosed by FNAC are described, and differential cytologic points between apocrine metaplasia and apocrine carcinoma are discussed. The first case is a right breast mass of a 37-year-old woman for 20 days. The smears show many single or sheets of large cells on bloody background. Each cell has a large vesicular nuclei with multiple macronucleoli and abundant eosinophilic granular cytoplasm. The second case is a left breast mass of a 35-year-old woman for one month. The smears show similar findings as seen in the first one. Histopathologic findings of both cases are typical of apocrine carcinoma. Electron microscopy demonstrates variable numbers of large osmiophilic granules in diameter of $200\sim600nm$ in both cases.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.539-545
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• 2013

Background: The National Breast Cancer Audit Database of the Society of Breast Surgeons of Australia and New Zealand is used by surgeons to monitor treatment quality and for research. About 60% of early invasive female breast cancers in Australia are recorded. The objectives of this study are: (1) to investigate associations of socio-demographic, health-system and clinical characteristics with treatment of invasive female breast cancer by mastectomy compared with breast conserving surgery; and (2) to consider service delivery implications. Materials and Methods: Bi-variable and multivariable analyses of associations of characteristics with surgery type for cancers diagnosed in 1998-2010. Results: Of 30,299 invasive cases analysed, 11,729 (39%) were treated by mastectomy as opposed to breast conserving surgery. This proportion did not vary by diagnostic year (p>0.200). With major city residence as the reference category, the relative rate (95% confidence limits) of mastectomy was 1.03 (0.99, 1.07) for women from inner regional areas and 1.05 (1.01, 1.10) for those from more remote areas. Low annual surgeon case load (${\leq}10$) was predictive of mastectomy, with a relative rate of 1.08 (1.03, 1.14) when compared with higher case loads. Tumour size was also predictive, with a relative rate of 1.05 (1.01, 1.10) for large cancers (40+ mm) compared with smaller cancers (<30 mm). These associations were confirmed in multiple logistic regression analysis. Conclusions: Results confirm previous studies showing higher mastectomy rates for residents of more remote areas, those treated by surgeons with low case loads, and those with large cancers. Reasons require further study, including possible effects of surgeon and woman's choice and access to radiotherapy services.