PMC5306971_01
Preoperative anterior and lateral view. The breast measurement was as follows: suprasternal notch-to-nipple distance was 36 cm bilaterally, nipple-to-IMF distance was 26 cm bilaterally, and nipple-to-nipple distance was 21 cm.
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The breast measurements were as follows: suprasternal notch-to-nipple distance was 36 cm bilaterally, nipple-to-IMF distance was 26 cm bilaterally, and nipple-to-nipple distance was 25 cm (Figure 1).
Resected breast tissue. Total amount of 7300 grams of tissue was removed (right breast = 3500 grams; left breast = 3800 grams).
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A total of 7300 grams of tissue had been resected, accounting for 14.9% of patient total body weight (Figure 2).
Histological appearance of the left breast in haematoxylin and eosin (H&E) stain. An increase in the interlobular stroma, composed of abundant collagen and fat, was seen. Duct was lined by the normal two-tier epithelium without atypia or hyperplasia. The right breast showed similar appearance.
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Duct was lined by the normal two-tier epithelium without atypia or hyperplasia (Figure 3).
Postoperative views at a 5-year follow-up. No hypertrophic recurrence was observed. Note that the position of the NAC is slightly higher on the left and the breast demonstrates a boxy shape and bottomed-out appearance.
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However, we noted that the NAC position was higher on the left and the breast demonstrated a boxy shape and a bottomed-out appearance at this stage (Figure 4).