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新发现的大体人体解剖结构:在瘦的成年人中,八对残留乳腺丘沿着胚胎期乳腺嵴分布。

Newly Identified Gross Human Anatomy: Eight Paired Vestigial Breast Mounds Run along the Embryological Mammary Ridges in Lean Adults.

作者信息

Teplica David, Kovich Grant, Srock Jamey, Whitaker Robert, Jeffers Eileen, Wagstaff David A

机构信息

The 803 Foundation, Chicago, Ill.

Section of Plastic & Reconstructive Surgery, Department of Surgery, The University of Chicago, Chicago, Ill.

出版信息

Plast Reconstr Surg Glob Open. 2021 Oct 14;9(10):e3863. doi: 10.1097/GOX.0000000000003863. eCollection 2021 Oct.

Abstract

UNLABELLED

Although isolated accessory breasts have been reported in many locations on the torso, we noted that lean men presenting for liposuction had mounds of fullness in a curvilinear array (axilla to groin) consistent with the configuration of the embryological mammary ridge. We hypothesized that grid mapping and pinch testing would elucidate the pattern of fullness and its relation to the "milk line."

METHODS

Twenty lean participants (10 men, 10 women) each underwent standardized photography and grid mapping of anterior torsos. We then pinch-tested each for subcutaneous fullness in 250 standardized loci. We used plotted pinch values and OLS regression models to determine if focal fullness corresponded to published configurations of the embryologic mammary ridge.

RESULTS

We identified a pattern of paired mounds in all participants running bilaterally in curved linear arrays from axillae to groin in the exact form of milk lines. Regression models applied to the male and female pinch data indicated that focal thickness matched mammary ridge configurations in all subjects ( = 0.023 for men, <0.001 for women). Fatty fullness never appeared elsewhere on the anterior torsos.

CONCLUSIONS

The linear pattern of paired focal fat mounds present on the anterior torsos is consistent with the paths of embryological mammary ridges, suggesting these focal fat pads are of breast origin. The consistent mounds are distinct from general subcutaneous fullness and therefore represent a new finding of gross human anatomy. We recommend further research to define differential physiology of distinct subpopulations of yellow fat and clinical implications.

摘要

未标注

尽管孤立的副乳已在躯干的许多部位被报道,但我们注意到前来进行抽脂手术的瘦男性在从腋窝到腹股沟呈曲线排列的位置有丰满的隆起,这与胚胎乳腺嵴的形态一致。我们推测网格映射和捏压测试将阐明丰满的模式及其与“乳线”的关系。

方法

20名瘦参与者(10名男性,10名女性)每人都接受了前躯干的标准化摄影和网格映射。然后我们在250个标准化位点对每个人进行皮下丰满度的捏压测试。我们使用绘制的捏压值和OLS回归模型来确定局部丰满度是否与已发表的胚胎乳腺嵴形态相对应。

结果

我们在所有参与者中都发现了一种双侧成对隆起的模式,从腋窝到腹股沟呈弯曲的线性排列,其形态与乳线完全一致。应用于男性和女性捏压数据的回归模型表明,所有受试者的局部厚度都与乳腺嵴形态相符(男性 = 0.023,女性 <0.001)。在前躯干的其他部位从未出现过脂肪丰满。

结论

前躯干上成对的局部脂肪隆起的线性模式与胚胎乳腺嵴的路径一致,表明这些局部脂肪垫起源于乳腺。这些一致的隆起与一般的皮下丰满不同,因此代表了人体大体解剖学的一项新发现。我们建议进一步研究以确定不同黄色脂肪亚群的差异生理学及其临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f3f/8517303/311deac6c906/gox-9-e3863-g001.jpg

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