Carlson G W, Grossl N, Lewis M M, Temple J R, Styblo T M
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Plast Reconstr Surg. 1996 Sep;98(3):447-50. doi: 10.1097/00006534-199609000-00012.
Preservation of the inframammary fold (IMF) at the time of mastectomy facilitates immediate breast reconstruction. Twenty-four IMF specimens were removed separately after mastectomy for cancer, were serially sectioned, and were examined histologically. Computer image analysis was used to calculate the percentage of breast tissue in each specimen. The mean volume of IMF tissue removed was 99 cm3 (27.3-205.2 cm3), and the mean area examined histologically was 3,036.3 mm2 (294-11,755 mm2). Breast tissue was identified in 13 of the 24 specimens. All cases were negative for carcinoma, but one case had a focus of ductal hyperplasia, usual type. The mean percent breast tissue in those positive for breast tissue was 0.04 percent and 0.02 percent overall. Preservation of the IMF leaves a minimal amount of breast tissue and does not appreciably effect the completeness of a mastectomy.
乳房切除时保留乳房下皱襞（IMF）有助于即刻乳房重建。对24例因癌症行乳房切除术后的IMF标本进行单独切除、连续切片并进行组织学检查。采用计算机图像分析计算每个标本中乳腺组织的百分比。切除的IMF组织平均体积为99 cm³（27.3 - 205.2 cm³），组织学检查的平均面积为3036.3 mm²（294 - 11755 mm²）。24个标本中有13个发现乳腺组织。所有病例均无癌，但有1例存在普通型导管增生灶。乳腺组织阳性者中乳腺组织的平均百分比为0.04%，总体为0.02%。保留IMF仅残留少量乳腺组织，对乳房切除术的彻底性无明显影响。
