학술논문
Multimodality Review of Imaging Features Following Breast Reduction Surgery
Document Type
Report
Source
European Journal of Breast Health. July 2021, Vol. 17 Issue 3, p206, 8 p.
Subject
Language
English
Abstract
Introduction Reduction mammoplasty is a common non-oncologic surgical procedure that accounts for 18% of all breast surgeries (1). In patients with symptomatic macromastia, the surgery aims to remove excess fat, [...]
Reduction mammoplasty is a common surgical procedure that removes a significant portion of the breast, and the resulting changes to the breast parenchyma are frequently seen on breast imaging studies. Any radiologist who interprets breast imaging studies must be able to recognize these changes in order to avoid unnecessary recall from screening and/or breast biopsy The surgical techniques used in reduction mammoplasty are discussed in order to provide relevant background information for understanding the resulting imaging features. These imaging characteristics are presented for the most common breast imaging modalities, including mammography, ultrasound, and magnetic resonance imaging. Additionally, tips for distinguishing malignancy from postsurgical change are provided, as are potential pitfalls in imaging interpretation. To avoid unnecessary patient morbidity, it is critical to differentiate between the classic, benign imaging appearance of the breast after reduction mammoplasty and findings that indicate a potential malignancy. Keywords: Breast cancer, breast imaging, breast reconstruction, mastopexy Cite this article as: Goudreau SH, Woughter MA, Seiler SJ. Multimodality Review of Imaging Features Following Breast Reduction Surgery. Eur J Breast Health 2021; 17(3): 206-213 Key Points * All reduction procedures involve the removal and displacement of varying amounts of parenchymal tissue and skin, largely from the inferior breast. * This tissue and skin removal alters the normal distribution of fibroglandular tissue and can result in architectural distortion, focal asymmetries, and regions of fat necrosis with or without dystrophic calcifications. * Fat necrosis may be difficult to interpret by ultrasound interrogation alone. A spot tangential mammographic view may assist in the visualization of internal fat within the mass to clench the diagnosis of fat necrosis. * Preoperative imaging with mammography is recommended to assess for occult malignancy for average-risk women 40 years of age and older as well as women of any age who are at high-risk of developing breast cancer.
Reduction mammoplasty is a common surgical procedure that removes a significant portion of the breast, and the resulting changes to the breast parenchyma are frequently seen on breast imaging studies. Any radiologist who interprets breast imaging studies must be able to recognize these changes in order to avoid unnecessary recall from screening and/or breast biopsy The surgical techniques used in reduction mammoplasty are discussed in order to provide relevant background information for understanding the resulting imaging features. These imaging characteristics are presented for the most common breast imaging modalities, including mammography, ultrasound, and magnetic resonance imaging. Additionally, tips for distinguishing malignancy from postsurgical change are provided, as are potential pitfalls in imaging interpretation. To avoid unnecessary patient morbidity, it is critical to differentiate between the classic, benign imaging appearance of the breast after reduction mammoplasty and findings that indicate a potential malignancy. Keywords: Breast cancer, breast imaging, breast reconstruction, mastopexy Cite this article as: Goudreau SH, Woughter MA, Seiler SJ. Multimodality Review of Imaging Features Following Breast Reduction Surgery. Eur J Breast Health 2021; 17(3): 206-213 Key Points * All reduction procedures involve the removal and displacement of varying amounts of parenchymal tissue and skin, largely from the inferior breast. * This tissue and skin removal alters the normal distribution of fibroglandular tissue and can result in architectural distortion, focal asymmetries, and regions of fat necrosis with or without dystrophic calcifications. * Fat necrosis may be difficult to interpret by ultrasound interrogation alone. A spot tangential mammographic view may assist in the visualization of internal fat within the mass to clench the diagnosis of fat necrosis. * Preoperative imaging with mammography is recommended to assess for occult malignancy for average-risk women 40 years of age and older as well as women of any age who are at high-risk of developing breast cancer.