The prevalence of supernumerary nipples in Arab infants and children.
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The supero-medial dermal pedicle was reported only once in a small group of patients. Further experience and refinements have shown the technique, with a relative thick pedicle augmenting the medial quadrant, to offer good areolar support and permit extensive reduction of the lateral breast. This method was used on 78 patients with a follow-up of up to 2 1/2 years. It was found to be suitable, simple, and safe, and it preserves the sensory qualities of the areola. The increased sophistication and understanding, as presented here, may have borne fruit in the performance of this technique.
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The main sources of blood supply to the breast are described in textbooks as the internal thoracic, lateral thoracic, and posterior intercostal arteries. Textbooks, however, do not describe the contribution of each to the nippie-areoia complex (NAC), nor do they describe the pattern of supply. To investigate this issue, 15 female cadavers were injected intraarterially with latex, and dissections were performed on 27 breasts. The results were as follows: In all the dissected breasts (27/27), the NAC received at least one or more vessels from the internal thoracic artery. In 20 of 27 dissected breasts, the NAC received vessels from the anterior intercostal arteries, In 19 of the 27 dissected breasts, the NAC received vessels from the lateral thoracic artery. Direct branches from the axillary artery supplied the NAC in 2 of the 27 breasts. The posterior intercostal arteries supplied the NAC in only 1 of the 27 dissected breasts. An underlying segmental pattern could be detected that can be explained by the embryological development. According to this study, the internal thoracic arteries are to be considered the main and constantly reliable source of blood supply to the NAC.
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A case of cutaneous Crohn's disease involving the right breast and presenting as multiple periareolar fistulas in a 46-year-old female is reported. The lesion had initially been diagnosed and treated as a simple abscess. She had a 26-year history of Crohn's disease with numerous hospitalizations for bowel resections and control of diarrhea. Histopathologic examination following excision of the fistulas and total duct excision, however, showed well-defined granulomas containing multinucleated giant cells characteristic of extraintestinal Crohn's disease.
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Paget's disease of the breast accounts for 1% to 4.1% of all cancers; however, bilateral Paget's disease is extremely rare. A case of bilateral Paget's disease is presented and treatment is described.
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