
Mammography After Augmentation Mammoplasty
A. Jill Leibman, MD
The Emory Clinic Atlanta, Ga
JAMA. 1993;269(8):987-988.
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To the Editor.
—The article by Handel et al1 describes well some of the factors influencing the amount of breast tissue seen on mammography after augmentation mammoplasty.
As an experienced mammographer in a practice that sees approximately 200 implant patients yearly, I would like to elaborate on several points mentioned in this article. Displacement (or Eklund view) mammography is used to image the deeper central portions of the breast and is often complementary to the routine views that image the posterior and more lateral areas of the breast, areas not seen well on displacement views. Therefore, the amount of additional tissue imaged on the displacement views cannot be regarded in a vacuum. Both views are necessary to image the most tissue in the augmented breast. The mammograms shown in Fig 2 of the paper with the implant in place (especially the one with severe contracture) are of poor technical
. . . [Full Text PDF of this Article]
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