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The Value of Scintimammography in Reduction Mammaplasties: A Preliminary Study

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Abstract

Reduction mammaplasty results in architectural distortion, fat necrosis, and heavy scarring of the breast. In such conditions, mammography (MG) might not be reliable and an alternative unfailing imaging technique is demanded to prevent unnecessary apprehension and biopsy. With this study, the value of Tc-99m sestamibi (MIBI) scintimammography (SCM) as an adjunct test after reduction mammaplasty was explored. MIBI scintigraphy is not affected by scar tissue or breast density and is able to differentiate benign and malignant lesions. The study was conducted on 12 women undergoing a reduction mammaplasty operation (McKissock technique). The average age was 38 and the average weight of breast tissue removed from each breast was 320 g. All patients, except one who was 21 years old, underwent MG and SCM preoperatively, and these tests were repeated at the sixth postoperative month. Preoperative MG and SCM revealed no pathology except a finding in one patient consistent with fibroadenoma. Postoperatively, the most common findings in MG were parenchymal redistribution, elevation of the nipple, and retroareolar fibrotic bands. Calcifications and oil cysts were not seen. Other findings were areola and skin thickening. Interestingly, these findings were not evident on the SCM, in fact it was not possible to state whether or not the breast had been operated on. In conclusion, SCM may not be used as screening test, but it should be considered when the postoperative MG is not informative or is complicated by scaring. In this condition, SCM may be used as a complementary method to MG and may help to prevent unnecessary breast biopsies.

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References

  1. JR Gottlieb P McKinney MD Walkinshaw RL Sperling (1989) ArticleTitleOccult breast carcinoma in patients undergoing reduction mammaplasty. Aesth Plast Surg 13 IssueID4 279 Occurrence Handle1:STN:280:By%2BD1cnkt1Y%3D

    CAS  Google Scholar 

  2. L Robertson (1977) ArticleTitleChanged appearance of mammograms following breast reduction. Plast Reconstr Surg 59 IssueID3 347

    Google Scholar 

  3. D Danikas SJ Theodorou G Kokkalis K Vasiou K Kyriakopoulou (2001) ArticleTitleMammographic findings following reduction mammaplasty. Aesth Plast Surg 25 283 Occurrence Handle10.1007/s002660010137 Occurrence Handle1:STN:280:DC%2BD3MritFGrtw%3D%3D

    Article  CAS  Google Scholar 

  4. G Wolf (1982) ArticleTitleMammographic appearance of posttraumatic and postoperative lesions in the female breast simulating a tumor. Rontgenblatter 35 IssueID22 58

    Google Scholar 

  5. JA Miller S Festa M Goldstein (1998) ArticleTitleBenign fat necrosis simulating bilateral breast malignancy after reduction mammaplasty. South Med J 91 IssueID8 765 Occurrence Handle1:STN:280:DyaK1czotV2muw%3D%3D Occurrence Handle9715227

    CAS  PubMed  Google Scholar 

  6. GW Carlson SA Curley JE Martin BD Fornage FC Ames (1993) ArticleTitleThe detection of breast cancer after augmentation mammaplasty. Plast Reconstr Surg 91 IssueID5 837

    Google Scholar 

  7. JS Mitnick MF Vazquez KP Plesser PI PreSCMan MN Harris SR Colen DF Roses (1993) ArticleTitleDistinction between postsurgical changes and carcinoma by means of stereotaxic fine-needle aspiration biopsy after reduction mammaplasty. Radiology 188 IssueID2 457 Occurrence Handle1:STN:280:ByyA3MjovVU%3D Occurrence Handle8327697

    CAS  PubMed  Google Scholar 

  8. N Arslan E Ozturk S Ilgan M Urhan O Karacalioglu M Pekcan T Tufan H Bayhan (1999) ArticleTitle99Tcm-MIBI scintiMG in the evaluation of breast lesions and axillary involvement: A comparison with MG and histopathological diagnosis. Nucl Med Commun 20 IssueID4 317 Occurrence Handle1:STN:280:DyaK1M3lt12juw%3D%3D Occurrence Handle10319351

    CAS  PubMed  Google Scholar 

  9. AD Waxman C Aktolun (1999) Breast cancer. C Aktolun WN Tauxe (Eds) Nuclear oncology. Springer Verlag Berlin 143–162

    Google Scholar 

  10. EA Sickles KA Herzog (1981) ArticleTitleMG of the postsurgical breast. Am J Roentgenol 136 IssueID3 585

    Google Scholar 

  11. PA Carvalho ML Chiu JP Kronaug (1992) ArticleTitleSubcellular distribution and analysis of TC-99m MIBI in isolated perfused rat hearts. J Nucl Med 33 1516 Occurrence Handle1:CAS:528:DyaK38Xls1Kksbc%3D Occurrence Handle1634944

    CAS  PubMed  Google Scholar 

  12. LI Delmon-Mongeon D Piwnicia-Worms AD Van der Abbeele et al. (1990) ArticleTitleUptake of cation hexasis (2-methoxyisobutylisonitrile) technetium 99m by human carcinoma cells lines in vitro. Cancer Res 50 2198 Occurrence Handle1:CAS:528:DyaK3cXitFeitbk%3D Occurrence Handle2317808

    CAS  PubMed  Google Scholar 

  13. EL Palmer JA Scott HW Stauss (1992) Pract Nucl Med W.B. Saunders Philadelphia 71–119

    Google Scholar 

  14. D Piwnica-Worms ML Chin M Budding et al. (1993) ArticleTitleFunctional imaging of multidrug resistant p-glycoprotein with organotechnetium complex. Cancer Res 53 977 Occurrence Handle8094997

    PubMed  Google Scholar 

  15. I Khalkhali J Villanueva-Meyer J Edell et al. (2000) ArticleTitleDagnostic accuracy of Tc-99 Sestamibi breast imaging: Multicenter trial results. J Nucl Med 41 1973 Occurrence Handle1:STN:280:DC%2BD3M%2FoslSmsg%3D%3D Occurrence Handle11138681

    CAS  PubMed  Google Scholar 

  16. CL Tang MH Brown R Levine M Sloan N Chong E Holowaty (1999) ArticleTitleA follow-up study of 105 women with breast cancer following reduction mammaplasty. Plast Reconstr Surg 103 1687

    Google Scholar 

  17. E Caccialanza P Magnani A Segalini M Canepari (1994) ArticleTitleNew uses of mammary ultrasonography. Aesth Plast Surg 18 IssueID2 189 Occurrence Handle1:STN:280:ByuB1cjotlw%3D

    CAS  Google Scholar 

  18. GM Beer P Kompatscher K Hergan (1996) ArticleTitleDiagnosis of breast tumors after breast reduction. Aesth Plast Surg 20 391 Occurrence Handle10.1007/s002669900053 Occurrence Handle1:STN:280:ByiD3c3ktFQ%3D

    Article  CAS  Google Scholar 

  19. RJ Brenner JM Pfaff (1996) ArticleTitleMammagraphic changes after excisional breast biopsy for benign disease. Am J Roentgenol 167 1047

    Google Scholar 

  20. C Buhtz J Freitag G Berge G Pohl (1989) ArticleTitleMammagraphic findings following reduction mammaplasty. Zentralbl Chir 114 36 Occurrence Handle1:STN:280:BiaB2czosVw%3D Occurrence Handle2718644

    CAS  PubMed  Google Scholar 

  21. YH Park J Ferrante RE Robinson K Arvay (1999) ArticleTitleOccult breast cancer detection with technetium-99m-sestamibi: A case report. J Nucl Med Technol 27 298 Occurrence Handle1:CAS:528:DyaK1MXmsVaitrk%3D Occurrence Handle10646550

    CAS  PubMed  Google Scholar 

  22. F Mulero F Nicolas MI Castellon T Fuentes P de la Cruz V Roca L Abad JA Nuno La Rosa Particlede (2000) ArticleTitle99m Tc-MIBI scintigraphy compared to MG in the diagnosis of breast cancer in dense, operated and young women breasts. Rev Esp Med Nucl 19 IssueID5 344 Occurrence Handle1:STN:280:DC%2BD3M%2FltVSlsg%3D%3D Occurrence Handle11062110

    CAS  PubMed  Google Scholar 

  23. E Bombardieri F Crippa SM Baio BA Peeters M Greco EK Pauwels (2001) ArticleTitleNuclear medicine advances in breast cancer imaging. Tumori 87 IssueID5 277 Occurrence Handle1:STN:280:DC%2BD38%2FjslOrug%3D%3D Occurrence Handle11765174

    CAS  PubMed  Google Scholar 

  24. N Nagaray G Ashok AB Waxman et al. (1995) ArticleTitleClinical usefulness of serial Tc99m-sestamibi (MIBI) scintigraphy in evaluation of tumor response to preop chemotherapy in patient with bone and soft tissue sarcomas. J Nucl Med 36 129

    Google Scholar 

  25. H Palmedo HJ Biersack S Lastoria J Maublant E Prats HE Stegner P Bourgeois R Hustinx AJ Hilson A Bischof-Delaloye (1998) ArticleTitleScintiMG with technetium-99m methoxyisobutylisonitrile: Results of a prospective European multicentre trial. Eur J Nucl Med 25 IssueID4 375 Occurrence Handle10.1007/s002590050235 Occurrence Handle1:STN:280:DyaK1c3itFSqsg%3D%3D Occurrence Handle9553167

    Article  CAS  PubMed  Google Scholar 

  26. E Prats F Aisa MD Abos L Villavieja F Garcia-Lopez MJ Asenjo P Razola J Banzo (1999) ArticleTitleMG and 99mTc-MIBI scintiMG in suspected breast cancer. J Nucl Med 40 IssueID2 296

    Google Scholar 

  27. SS Sun JF Hsieh SC Tsai YJ Ho CH Kao (2000) ArticleTitleThe role of technetium-99m methoxyisobutylisonitrile scintiMG in diagnosis of breast cancer in patients with mammographically dense breasts. Anticancer Res 20 IssueID5C 3755 Occurrence Handle1:STN:280:DC%2BD3M7ms1OktQ%3D%3D Occurrence Handle11268450

    CAS  PubMed  Google Scholar 

  28. H Palmedo A Schomburg F Grunwald P Mallmann I Boldt HJ Biersack (1996) ArticleTitleScintiMG with Tc-99m MIBI in patients with suspicion of primary breast cancer. Nucl Med Biol 23 IssueID6 681 Occurrence Handle10.1016/0969-8051(96)00084-4 Occurrence Handle1:STN:280:ByiD1MrjslM%3D Occurrence Handle8940710

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Zonguldak Karaelmas University, Zonguldak, Turkey

    Orhan Babuccu M.D., İrfan Peksoy M.D., Eksal Kargı M.D., Mübin Hoşnuter M.D., Hüseyin Özdemir M.D., Sadi Gündoğdu M.D. & Ahmet Işıkdemir M.D.

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  1. Orhan Babuccu M.D.
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  2. İrfan Peksoy M.D.
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  3. Eksal Kargı M.D.
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  4. Mübin Hoşnuter M.D.
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  7. Ahmet Işıkdemir M.D.
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Correspondence to Orhan Babuccu M.D..

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Babuccu, O., Peksoy, İ., Kargı, E. et al. The Value of Scintimammography in Reduction Mammaplasties: A Preliminary Study . Aesth. Plast. Surg. 27, 296–300 (2003). https://doi.org/10.1007/s00266-003-3039-5

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  • DOI: https://doi.org/10.1007/s00266-003-3039-5

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