Quiz – Breast Surgery
Authors: Mia Demant, MD, Mia Steffensen, MD
#1. Which statement about gynecomastia is wrong?
It is most often caused by decreased estrogen activity
It is most commonly seen in hormonal transition phases such as neonatal age, puberty, and the age after 50 years
The male breast tissue contains no lobules
The incidence is between 25 to 65 percent, depending on selection criteria
It can be caused by cannabis abuse
#2. What statement about breast reduction performed in public hospitals is correct?
The reduced amount of breast tissue should be at least 700-800 g on each side
All women ≥25 years of age must have normal mammography within the last 6 months
The ability to breastfeed may be affected
In Denmark surgeons often rely on the inferolateral pedicle
A supportive bra must be worn for 2 weeks after surgery
#3. When planning a mastopexy in a public hospital, what is not an indication?
Skin maceration/intertrigo and fungal infections in the IMF
Adjustment of breast size to the contralateral breast after this has been reconstructed due to disease
Severe breast ptosis due to a massive weight loss (> 15 BMI points)
Significant breast asymmetry
#4. What is not a risk factor of breast augmentation?
Decreased skin sensitivity
Necrosis of the NAC
#5. Which statement is false about pedicles in breast reduction?
A central pedicle enables a large volume resection
High risk of bottoming out with an inferior pedicle
A superior pedicle maintains breast projection
A superomedial pedicle has no dual blood supply
Decreased sensation of the NAC with a central pedicle
#6. Identify the incorrect anatomical structure?
External thoracic artery
Long thoracic nerve
Pectoralis major muscle
Serratus anterior muscle
#7. What is incorrect in terms of "the normal breast"?
The mammary gland consists of adipose tissue, milk-producing lobules and milk ducts
Obvious persistent asymmetry is seen in up to 25% of all women
Standard jugulum-nipple distance is 27-29 cm
Standard nipple-IMF distance is 5-6 cm
The footprint rests on the pectoral muscles and anterior thoracic wall
#8. Find the false statement about breast reduction techniques
The vertical scar technique typically involves a shorter scar
The Hall-Findlay technique is an inverted T-technique
The superomedial pedicle is most often used
The pedicle should not be undermined
A "Wise-pattern" is drawn in the inverted T-technique
#9. Which statement is correct about the abnormal breast?
Tuberous breasts are not a congenital abnormality
Pectus excavatum is a chest wall deformity causing a convex appearance in the anterior chest wall
'East-west asymmetry' is often coupled with mild to moderate pectus carinatum
In grade 2 ptosis the nipple is still above the IMF
The Tanner scale is used when assessing breast ptosis
#10. What is incorrect about breast augmentation with implants?
Overall, there exists two shapes of implants - round and anatomical
Overtall, implants can be saline- or silicone filled
Overtall, implants can be smooth og textured
Most women's breast width is between 15-18 cm
Breast height and width must be assessed when finding the right implant