Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation
Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma c...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Purkait, Bimalesh [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Anmerkung: |
© Association of Surgeons of India 2018 |
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| Übergeordnetes Werk: |
Enthalten in: Indian Journal of Surgery - Springer-Verlag, 2007, 81(2018), 3 vom: 24. Juli, Seite 265-270 |
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| Übergeordnetes Werk: |
volume:81 ; year:2018 ; number:3 ; day:24 ; month:07 ; pages:265-270 |
| Links: |
|---|
| DOI / URN: |
10.1007/s12262-018-1791-7 |
|---|
| Katalog-ID: |
SPR024619035 |
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| 520 | |a Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. | ||
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10.1007/s12262-018-1791-7 doi (DE-627)SPR024619035 (SPR)s12262-018-1791-7-e DE-627 ger DE-627 rakwb eng Purkait, Bimalesh verfasserin aut Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2018 Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. Premammary fascia (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 TDLU (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Flap thickness (dpeaa)DE-He213 Srivastava, Anurag (orcid)0000-0001-5855-8865 aut Kataria, Kamal aut Seenu, V. aut Das, Prasenjit aut Hari, Smriti aut Dhar, Anita aut Singh, M. K. aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 81(2018), 3 vom: 24. Juli, Seite 265-270 (DE-627)SPR024596493 nnns volume:81 year:2018 number:3 day:24 month:07 pages:265-270 https://dx.doi.org/10.1007/s12262-018-1791-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 81 2018 3 24 07 265-270 |
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10.1007/s12262-018-1791-7 doi (DE-627)SPR024619035 (SPR)s12262-018-1791-7-e DE-627 ger DE-627 rakwb eng Purkait, Bimalesh verfasserin aut Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2018 Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. Premammary fascia (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 TDLU (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Flap thickness (dpeaa)DE-He213 Srivastava, Anurag (orcid)0000-0001-5855-8865 aut Kataria, Kamal aut Seenu, V. aut Das, Prasenjit aut Hari, Smriti aut Dhar, Anita aut Singh, M. K. aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 81(2018), 3 vom: 24. Juli, Seite 265-270 (DE-627)SPR024596493 nnns volume:81 year:2018 number:3 day:24 month:07 pages:265-270 https://dx.doi.org/10.1007/s12262-018-1791-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 81 2018 3 24 07 265-270 |
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10.1007/s12262-018-1791-7 doi (DE-627)SPR024619035 (SPR)s12262-018-1791-7-e DE-627 ger DE-627 rakwb eng Purkait, Bimalesh verfasserin aut Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2018 Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. Premammary fascia (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 TDLU (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Flap thickness (dpeaa)DE-He213 Srivastava, Anurag (orcid)0000-0001-5855-8865 aut Kataria, Kamal aut Seenu, V. aut Das, Prasenjit aut Hari, Smriti aut Dhar, Anita aut Singh, M. K. aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 81(2018), 3 vom: 24. Juli, Seite 265-270 (DE-627)SPR024596493 nnns volume:81 year:2018 number:3 day:24 month:07 pages:265-270 https://dx.doi.org/10.1007/s12262-018-1791-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 81 2018 3 24 07 265-270 |
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10.1007/s12262-018-1791-7 doi (DE-627)SPR024619035 (SPR)s12262-018-1791-7-e DE-627 ger DE-627 rakwb eng Purkait, Bimalesh verfasserin aut Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2018 Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. Premammary fascia (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 TDLU (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Flap thickness (dpeaa)DE-He213 Srivastava, Anurag (orcid)0000-0001-5855-8865 aut Kataria, Kamal aut Seenu, V. aut Das, Prasenjit aut Hari, Smriti aut Dhar, Anita aut Singh, M. K. aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 81(2018), 3 vom: 24. Juli, Seite 265-270 (DE-627)SPR024596493 nnns volume:81 year:2018 number:3 day:24 month:07 pages:265-270 https://dx.doi.org/10.1007/s12262-018-1791-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 81 2018 3 24 07 265-270 |
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10.1007/s12262-018-1791-7 doi (DE-627)SPR024619035 (SPR)s12262-018-1791-7-e DE-627 ger DE-627 rakwb eng Purkait, Bimalesh verfasserin aut Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2018 Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. Premammary fascia (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 TDLU (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Flap thickness (dpeaa)DE-He213 Srivastava, Anurag (orcid)0000-0001-5855-8865 aut Kataria, Kamal aut Seenu, V. aut Das, Prasenjit aut Hari, Smriti aut Dhar, Anita aut Singh, M. K. aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 81(2018), 3 vom: 24. Juli, Seite 265-270 (DE-627)SPR024596493 nnns volume:81 year:2018 number:3 day:24 month:07 pages:265-270 https://dx.doi.org/10.1007/s12262-018-1791-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 81 2018 3 24 07 265-270 |
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Purkait, Bimalesh |
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Purkait, Bimalesh misc Premammary fascia misc Sonography misc TDLU misc Mastectomy misc Flap thickness Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation |
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Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation Premammary fascia (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 TDLU (dpeaa)DE-He213 Mastectomy (dpeaa)DE-He213 Flap thickness (dpeaa)DE-He213 |
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misc Premammary fascia misc Sonography misc TDLU misc Mastectomy misc Flap thickness |
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Indian Journal of Surgery |
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Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation |
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Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation |
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Purkait, Bimalesh |
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Indian Journal of Surgery |
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Indian Journal of Surgery |
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2018 |
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Purkait, Bimalesh Srivastava, Anurag Kataria, Kamal Seenu, V. Das, Prasenjit Hari, Smriti Dhar, Anita Singh, M. K. |
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81 |
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Purkait, Bimalesh |
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10.1007/s12262-018-1791-7 |
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measurement of depth of premammary fascia and breast parenchyma by sonography and histological quantitation |
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Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation |
| abstract |
Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. © Association of Surgeons of India 2018 |
| abstractGer |
Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. © Association of Surgeons of India 2018 |
| abstract_unstemmed |
Abstract Most surgical texts recommend the skin flap elevation in mastectomy at a plane between small and large fat lobules. However, raising a skin flap at this plane results in necrosis of skin in 10 to 15% cases. Objective of mastectomy is to remove the tumor along with entire breast parenchyma containing ducto-lobular units. Pre-mammary fascia is interposed between subcutaneous fat and breast parenchyma. Most of the terminal ducto-lobular units (TDLUs) reach superficially the plane of pre-mammary fascia. Raising a skin flap superficial to pre-mammary fascia would allow the surgeon to remove most of the breast parenchymal tissue without leaving any TDLUs under the flaps. The depth of pre-mammary fascia was measured by ultrasound in 50 patients at four spots, one in each quadrant of the breast before mastectomy. The distance between dermis and nearest TDLU was measured histologically at the same four spots in 50 mastectomy specimens. Maximum depth of pre-mammary fascia by sonography was observed in upper outer quadrant (UOQ) (mean = 1.8 cm) and minimum in lower inner quadrant (LIQ) (mean = 1.2 cm). Histologically maximum depth of TDLU was found in UOQ (mean = 1.9 cm) and the minimum depth in the LIQ (mean = 1.3 cm). There was a very strong correlation between sonographic and histologic measurements (Pearson’s rho = 0.93). This study demonstrated that ducto-lobular tissue is located deep to pre-mammary fascia. Skin flap elevation at the plane of pre-mammary fascia would ensure complete removal of breast tissue during mastectomy. © Association of Surgeons of India 2018 |
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Measurement of Depth of Premammary Fascia and Breast Parenchyma by Sonography and Histological Quantitation |
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Srivastava, Anurag Kataria, Kamal Seenu, V. Das, Prasenjit Hari, Smriti Dhar, Anita Singh, M. K. |
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Srivastava, Anurag Kataria, Kamal Seenu, V. Das, Prasenjit Hari, Smriti Dhar, Anita Singh, M. K. |
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