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Reduction Mammoplasty, Imaging
Ethan O. Cohen, MD; Wendie A. Berg, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Breast reduction
              • Definitions

                • Cosmetic surgery to reduce breast size in setting of macromastia, breast cancer surgery, or congenital asymmetry
                • Mastopexy (lift): Surgery to reduce ptosis only
                  • No significant ↓ breast volume

              IMAGING

              • General Features

                • Mammographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Merkkola-von Schantz PA et al: Breast cancer detection by preoperative imaging in reduction mammaplasty patients: A single center study of 918 patients. World J Surg. 41(8):2013-2019, 2017
                                  2. Kim H et al: What we should know in mammography after reduction mammoplasty and mastopexy? Breast Cancer. 22(4):391-8, 2015
                                  3. Piper M et al: Mammographic changes after oncoplastic reduction mammoplasty. Ann Plast Surg. ePub, 2015
                                  4. Margolis NE et al: Update on imaging of the postsurgical breast. Radiographics. 34(3):642-60, 2014
                                  5. Hammond DC et al: Breast reduction. Plast Reconstr Surg. 129(5):829e-39e, 2012
                                  6. Roberts JM et al: Incidence of abnormal mammograms after reduction mammoplasty: implications for oncoplastic closure. Am J Surg. 201(5):611-4, 2011
                                  7. Campbell MJ et al: The role of preoperative mammography in women considering reduction mammoplasty: a single institution review of 207 patients. Am J Surg. 199(5):636-40, 2010
                                  8. Muir TM et al: Screening for breast cancer post reduction mammoplasty. Clin Radiol. 2010 Mar;65(3):198-205. Epub 2010 Jan 22. Erratum in: Clin Radiol. 65(6):498, 2010
                                  9. Andrades P et al: Understanding modern breast reduction techniques with a simplified approach. J Plast Reconstr Aesthet Surg. 61(11):1284-93, 2008
                                  10. Becker H: Breast reduction insurance denials. Plast Reconstr Surg. 114(6):1687, 2004
                                  11. Colwell AS et al: Occult breast carcinoma in reduction mammaplasty specimens: 14-year experience. Plast Reconstr Surg. 113(7):1984-8, 2004
                                  12. Keleher AJ et al: Breast cancer in reduction mammaplasty specimens: case reports and guidelines. Breast J. 9(2):120-5, 2003
                                  13. Yalin CT et al: Breast changes after reduction mammaplasty: a case report with mammographic and ultrasonographic findings and a literature review. Breast J. 9(2):133-7, 2003
                                  14. Chadbourne EB et al: Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc. 76(5):503-10, 2001
                                  15. Danikas D et al: Mammographic findings following reduction mammoplasty. Aesthetic Plast Surg. 25(4):283-5, 2001
                                  16. Hidalgo DA et al: Current trends in breast reduction. Plast Reconstr Surg. 104(3):806-15; quiz 816; discussion 817-8, 1999
                                  17. Miller JA et al: Benign fat necrosis simulating bilateral breast malignancy after reduction mammoplasty. South Med J. 91(8):765-7, 1998
                                  18. Beer GM et al: Diagnosis of breast tumors after breast reduction. Aesthetic Plast Surg. 20(5):391-7, 1996
                                  19. Hogge JP et al: The mammographic spectrum of fat necrosis of the breast. Radiographics. 15(6):1347-56, 1995
                                  20. Mandrekas AD et al: Fat necrosis following breast reduction. Br J Plast Surg. 47(8):560-2, 1994
                                  21. Fajardo LL et al: Epidermal inclusion cyst after reduction mammoplasty. Radiology. 186(1):103-6, 1993
                                  22. Mendelson EB: Evaluation of the postoperative breast. Radiol Clin North Am. 30(1):107-38, 1992
                                  23. Clugston PA et al: Detecting breast cancer after reduction mammoplasty. Can J Surg. 34(1):37-40, 1991
                                  24. Mitnick JS et al: Calcifications of the breast after reduction mammoplasty. Surg Gynecol Obstet. 171(5):409-12, 1990
                                  25. Brown FE et al: Mammographic changes following reduction mammaplasty. Plast Reconstr Surg. 80(5):691-8, 1987
                                  26. Miller CL et al: Mammographic changes after reduction mammoplasty. AJR Am J Roentgenol. 149(1):35-8, 1987
                                  27. Stavrides S et al: Gigantomastia in pregnancy. Br J Surg. 74(7):585-6, 1987
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Synonyms

                                                • Breast reduction
                                              • Definitions

                                                • Cosmetic surgery to reduce breast size in setting of macromastia, breast cancer surgery, or congenital asymmetry
                                                • Mastopexy (lift): Surgery to reduce ptosis only
                                                  • No significant ↓ breast volume

                                              IMAGING

                                              • General Features

                                                • Mammographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Merkkola-von Schantz PA et al: Breast cancer detection by preoperative imaging in reduction mammaplasty patients: A single center study of 918 patients. World J Surg. 41(8):2013-2019, 2017
                                                                  2. Kim H et al: What we should know in mammography after reduction mammoplasty and mastopexy? Breast Cancer. 22(4):391-8, 2015
                                                                  3. Piper M et al: Mammographic changes after oncoplastic reduction mammoplasty. Ann Plast Surg. ePub, 2015
                                                                  4. Margolis NE et al: Update on imaging of the postsurgical breast. Radiographics. 34(3):642-60, 2014
                                                                  5. Hammond DC et al: Breast reduction. Plast Reconstr Surg. 129(5):829e-39e, 2012
                                                                  6. Roberts JM et al: Incidence of abnormal mammograms after reduction mammoplasty: implications for oncoplastic closure. Am J Surg. 201(5):611-4, 2011
                                                                  7. Campbell MJ et al: The role of preoperative mammography in women considering reduction mammoplasty: a single institution review of 207 patients. Am J Surg. 199(5):636-40, 2010
                                                                  8. Muir TM et al: Screening for breast cancer post reduction mammoplasty. Clin Radiol. 2010 Mar;65(3):198-205. Epub 2010 Jan 22. Erratum in: Clin Radiol. 65(6):498, 2010
                                                                  9. Andrades P et al: Understanding modern breast reduction techniques with a simplified approach. J Plast Reconstr Aesthet Surg. 61(11):1284-93, 2008
                                                                  10. Becker H: Breast reduction insurance denials. Plast Reconstr Surg. 114(6):1687, 2004
                                                                  11. Colwell AS et al: Occult breast carcinoma in reduction mammaplasty specimens: 14-year experience. Plast Reconstr Surg. 113(7):1984-8, 2004
                                                                  12. Keleher AJ et al: Breast cancer in reduction mammaplasty specimens: case reports and guidelines. Breast J. 9(2):120-5, 2003
                                                                  13. Yalin CT et al: Breast changes after reduction mammaplasty: a case report with mammographic and ultrasonographic findings and a literature review. Breast J. 9(2):133-7, 2003
                                                                  14. Chadbourne EB et al: Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies. Mayo Clin Proc. 76(5):503-10, 2001
                                                                  15. Danikas D et al: Mammographic findings following reduction mammoplasty. Aesthetic Plast Surg. 25(4):283-5, 2001
                                                                  16. Hidalgo DA et al: Current trends in breast reduction. Plast Reconstr Surg. 104(3):806-15; quiz 816; discussion 817-8, 1999
                                                                  17. Miller JA et al: Benign fat necrosis simulating bilateral breast malignancy after reduction mammoplasty. South Med J. 91(8):765-7, 1998
                                                                  18. Beer GM et al: Diagnosis of breast tumors after breast reduction. Aesthetic Plast Surg. 20(5):391-7, 1996
                                                                  19. Hogge JP et al: The mammographic spectrum of fat necrosis of the breast. Radiographics. 15(6):1347-56, 1995
                                                                  20. Mandrekas AD et al: Fat necrosis following breast reduction. Br J Plast Surg. 47(8):560-2, 1994
                                                                  21. Fajardo LL et al: Epidermal inclusion cyst after reduction mammoplasty. Radiology. 186(1):103-6, 1993
                                                                  22. Mendelson EB: Evaluation of the postoperative breast. Radiol Clin North Am. 30(1):107-38, 1992
                                                                  23. Clugston PA et al: Detecting breast cancer after reduction mammoplasty. Can J Surg. 34(1):37-40, 1991
                                                                  24. Mitnick JS et al: Calcifications of the breast after reduction mammoplasty. Surg Gynecol Obstet. 171(5):409-12, 1990
                                                                  25. Brown FE et al: Mammographic changes following reduction mammaplasty. Plast Reconstr Surg. 80(5):691-8, 1987
                                                                  26. Miller CL et al: Mammographic changes after reduction mammoplasty. AJR Am J Roentgenol. 149(1):35-8, 1987
                                                                  27. Stavrides S et al: Gigantomastia in pregnancy. Br J Surg. 74(7):585-6, 1987