Miller C L, Feig S A, Fox J W
AJR Am J Roentgenol. 1987 Jul;149(1):35-8. doi: 10.2214/ajr.149.1.35.
Mammograms obtained in 24 patients after reduction mammoplasty were reviewed retrospectively to define the mammographic findings seen after this procedure. Nine characteristics were found. The most frequent findings were skin thickening and retraction of the lower portion of the breast, transposition of breast parenchyma from a high to a low position, and a high nipple. The image characteristics were then correlated with the surgical type of mammoplasty performed, that is, dermal transposition of the nipple vs full-thickness nipple-areolar graft. All patients who had dermal transposition had complete or partial preservation of continuity between the subareolar ducts and the nipple. Patients who had nipple-areolar grafts showed either disruption of the subareolar ducts or very fatty breasts without visible ductal tissue. Reduction mammoplasty produces characteristic and predictable mammographic changes.
对24例缩乳术后患者的乳房X线照片进行回顾性分析，以明确该手术后的乳房X线表现。发现了9个特征。最常见的表现为皮肤增厚和乳房下部回缩、乳腺实质从高位向低位移位以及乳头位置较高。然后将这些影像特征与所施行的乳房成形术的手术类型相关联，即乳头真皮移位术与乳头乳晕全层移植术。所有接受真皮移位术的患者，乳晕下导管与乳头之间的连续性得以完全或部分保留。接受乳头乳晕移植术的患者，乳晕下导管要么中断，要么乳房脂肪过多而未见明显导管组织。缩乳术会产生特征性且可预测的乳房X线改变。
