When Does an Aesthetic Breast Problem Need a Reconstructive Solution?

The rate of detection of breast cancer by MRI, while other methods of radiological diagnosis are not sufficiently informative, ranges from 5.2 to 26.3 per cent. Suspicious breast tumors of category BI-RADS 4, 5 show morphological image-guided biopsy verification, in particular MRI with contrast. Purpose. To show the possibilities and features of carrying out MRI-guided vacuum breast biopsy, including after aesthetic breast augmentation. Material and methods. A comprehensive X-ray, ultrasound and MRI examination of 54 women aged between 28 and 70 years with different breast tumors was conducted. Of these, five were detected only by breast MRI with contrast, and were morphologically verified by MRI-guided vacuum aspiration biopsy. Results. 14 of the 54 patients with breast mass were diagnosed with breast cancer and 26 were diagnosed with benign diseases. The effectiveness of comprehensive examination and low-invasive high-tech MRI-guided procedures in early refined screening for breast cancer, including after aesthetic breast augmentation, has been demonstrated. MRI-guided vacuum-assisted breast biopsy is a fast, safe and accurate diagnostic method of morphological verification of suspicious breast tumors that do not have X-ray and ultrasound.

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Methods and importance of volume measurement in reconstructive and aesthetic breast surgery

Orvosi Hetilap ◽

10.1556/oh.2014.29810 ◽

2014 ◽

Vol 155 (11) ◽

pp. 407-413 ◽

Cited By ~ 1

Author(s):

Csaba Kunos ◽

Gusztáv Gulyás ◽

Pál Pesthy ◽

Eszter Kovács ◽

Zoltán Mátrai

Keyword(s):

Magnetic Resonance ◽

Surgical Planning ◽

Volume Measurement ◽

Tumor Removal ◽

Breast Asymmetry ◽

Breast Parenchyma ◽

Implant Selection ◽

The Difference ◽

Aesthetic Breast ◽

Measured Volume

Volume measurment of the breast allows for better surgical planning and implant selection in breast reconstructive and symmetrization procedures. The safety and accuracy of tumor removal, in accordance with oncoplastic principles, may be imporved by knowing the true breast- and breast tumor volume. The authors discuss the methods of volume measurement of the breast and describe the method based on magnetic resonance imaging digital volume measurment in details. The volume of the breast parenchyma and the tumor was determined by processing the diagnostic magnetic resonance scans, and the difference in the volume of the two breasts was measured. Surgery was planned and implant selection was made based on the measured volume details. The authors conclude that digital volume measurement proved to be a valuable tool in preoperative planning of volume reducing mammaplasty, replacement of unknown size implants and in cases when breast asymmetry is treated. Orv. Hetil., 2014, 155(11), 407–413.

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