I have been writing back and forth with Kathleen regarding her mother with
possible herniated breast tissue and she sent me to some medical articles. As I
looked down the list this one was very interesting:
Ann Chir Plast Esthet. 1990;35(6):453-8. <A HREF="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=1706158">Related Articles,</A> >Links</A>
[Tuberous breast: clinical and therapeutic considerations. Report of 20
cases]
[Article in French]
Reynaud JP, Gary-Bobo A, Baron JL, Bousquet P, Dessus B.
Clinique du Colombier, Limoges.
Tuberous breast is a so-called mammary deformity which associates: deficient
and contracted base, enlarged nipple-areolar complex, glandular herniation
through the areola. The parenchyma is reduced, cylindrical, asymmetric, and
frequently posted. Surgery reveals a basic glandular ring. The gland passes through
this ring like a "glove's finger", revealing the herniation. All the cases
are very different, but the surgical correction is common: concentric skin
excision for areolar reduction. "V" vertical excision, allowing gland dissection.
Via the skin wedge of the "V", extended dissection is carried out and half of
the breast is denuded. The inferior mammary sulcus is released. The basal ring
is cut and the posterior breast tissue is radially incised to expanding base,
the parenchyma is stretched out. Correction of volume abnormalities:
augmentation (implant), posterior reduction of symmetry. Correction of ptosis by skin
redraping over the new mammary shape.
PMID: 1706158 [PubMed - indexed for MEDLINE]
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We have discussed tuberous breast before as a red flag to insufficient
lactation but I found it interesting how during the formation of these breast that
the breast tissue herniates into the areola.
None of the articles appeared to describe herniated breast tissue as an acute
problem but more of an embryonic occurrence.
Just food for thought.
Ann Perry RN IBCLC
Boston, MA
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