• Archives of Plastic Surgery
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• v.38 no.2
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• pp.148-154
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• 2011

Purpose: As the Korean life style is becoming westernized at a rapid pace, the rate of breast cancer is growing at the same time. So, the case of breast reconstruction after mastectomy increases, too. Points of breast reconstruction are symmetry, scar, size, and shape. Especially symmetry and scar are more important than others for Korean. This study is aimed to identify the method of breast reconstruction that accomplished the best results in terms of symmetry and scar. Methods: A total 15 patients were operated on from March of 2005 to July of 2009. The 5 patients were reconstructed by mammoreduction method after periareolar incision, the 7 patients were reconstructed by pectoralismajor transfer with implant after periareolar incision, and 3 patient were reconstructed by both breast augmentation. Results: Follow up period was 20.2 months on average and no complications such as breast deformity were observed. In symmetry of breast, the satisfaction score of periareolar approach is 4.4 and the satisfaction score of other approaches are 4.2 (p>0.05). But in scar of breast, the satisfaction score of periareolar approach is 4.6 and the satisfaction score of other approaches is 3.4 (p<0.05). Conclusion: In conclusion, Author's method of breast reconstruction after removal of breast cancer through periareolar incision is effective method in patients who care about aesthetic result after mastectomy.

• Archives of Plastic Surgery
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• v.44 no.6
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• pp.502-508
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• 2017

Background Breast-conserving therapy is defined as a breast-conserving wide local excision (WLE) of a mammary tumour combined with postoperative radiotherapy. Immediate restoration of the mammary shape by use of breast reduction techniques (volume displacement) or tissue replacement techniques (volume replacement) is gaining popularity to prevent breast malformation. Methods To date, using the internal mammary artery perforator (IMAP) flap has been suggested for immediate volume replacement after WLE, but has never been evaluated in a published study. Results We applied this flap in 12 women (mean age, 56.1 years) after WLE (mean specimen weight, 46.5 g) of the medial aspect of the breast. Over a median follow-up of 35.3 months (standard deviation, 1.2 months), 4 women needed repeated surgery for dog-ear correction of the donor site. Conclusions In our experience, the use of an IMAP flap was a reliable technique with good cosmetic outcomes after oncoplastic reconstruction. In this series, donor site revision often proved necessary initially, but we showed that this may easily be prevented.

• Investigative Magnetic Resonance Imaging
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• v.14 no.2
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• pp.95-102
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• 2010

Purpose : To evaluate the magnetic resonance imaging (MRI) and clinicopathological features of triple negative breast cancer, and compare them with those of non-triple negative breast cancer. Materials and Methods : This study included 231 pathologically confirmed breast cancers from January 2007 to May 2008. We retrospectively reviewed the MRI findings according to the Breast Imaging Reporting and Data System (BI-RADS) lexicon: mass or non-mass type, mass shape, mass margin, non-mass distribution, and enhancement pattern. Histologic type, histologic grade, and the results for epidermal growth factor receptor, p53, and Ki 67 were reviewed. Results : Of 231 patients, 43(18.6%) were triple negative breast cancer. Forty triple negative breast cancers (93.0%) were mass-type lesion on MRI. A round or oval or lobular shape (p=0.006) and rim enhancement (p=0.004) were significantly more in triple negative breast cancer than non- triple negative breast cancer. In contrast, irregular shape (p=0.006) and spiculated margins (p=0.032) were significantly more in non-triple negative breast cancer. Old age (p=0.019), high histologic grade (p<0.0001), EGFR positivity (p<0.0001), p53 overexpression (p=0.038), and Ki 67 expression (<0.0001) were significantly associated with the triple negative breast cancer. Conclusion : MRI finding may be helpful for differentiation between triple negative and non-triple negative breast cancer.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.4
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• pp.1875-1879
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• 2016

Background: Breast cancer is the most common cancer among women worldwide. A very important factor in the timely treatment and prevention of progression is high breast cancer awareness. Rural women are at risk of latte stage breast cancer due to poor education and lack of access to medical facilities. Materials and Methods: This cross-sectional-descriptive study was conducted on 266 women (out of 300) aged over 18 in rural areas of Zabol, Southeastern Iran during July 2015 to October 2015. The data collection tool was a researcher-made questionnaire that measured participant knowledge of breast cancer in four aspects (general awareness, risk factors, mammography, and symptoms). SPSS 22 was used for statistical analysis. Results: Out of 266 participants, age information was available for 261. The age range was between 19 and 62, with a mean of $27{\pm}2.1years$. Most participants (154, 57.9%) had an average overall awareness of breast cancer. In the general awareness dimension, most participants (130, 48.9%) had poor scores. Most (166, 62.4%) also had average awareness about risk factors and many (137, 51.5%) had good awareness about mammography. Most participants did not know that changes in breast shape (232, 88.2%), dimpling of breast skin (192, 72.3%) and nipple discharge (183, 69.6%) are the main symptoms of breast cancer. ANOVA statistical analysis showed a significant relationship between awareness level and participant education and occupation (P<0.05). Conclusions: This study indicated average awareness of participants about breast cancer. Since rural women have lower levels of education, it is recommended that educational courses with contents about breast cancer, its risk factors, and symptoms be held for these women.

• Journal of the Korean Society of Costume
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• v.56 no.2 s.101
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• pp.101-111
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• 2006

The purpose of this research is to define body shapes of Plus-sized women at ages between 21 and 69 whose satisfied the Plus-sized judgment criteria took part in this study. This research also classifies different body types, and provides basic data for designing prototypes according to each body type. Based on factor analysis of the measured data, nine key factors are grouped. And four different body types are classified based on the cluster analysis using factor marks. Type 1 refers to those who are tall and characterized by 'Y' body shape when looked from the front. Looking from the side, this type is comparatively balanced obese type which has flat breast and abdomen, and which has a jutting back and buttocks. Type 2 refers to those who are the shortest of all the obese with 'X' front. This type is Sway-back shape which has jutting back and abdomen but flat buttocks when looked from the side. Type 3 is characterized by 'H' body shape when looked from the front. This type is Pway-back shape which has flat back, abdomen and buttocks when looked from the side. The prominent breast part of this type is the most outstanding figure. Type 4 is characterized by 'X' when looked from the front. This type has a jutting waist and prominent buttocks when looked from the side.

• Journal of Animal Environmental Science
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• v.6 no.1
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• pp.15-22
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• 2000

A monitoring and the forecasting system for the swine delivery was developed using CCD camera multi-function board microphone and data-recorder equipped on a personal computer. For the swine delivery monitoring and forecasting factors four factors were selected such as genitalia swine body shape breast color and sound. Image of physical variation of body shape, shape and color of genitalia area and color of breast of pregnant sow were grabbed using the CCD color camera and multi-function board and variation of voice of pregnant sow was acquired using microphone and data recorder. Acquired information of image and voice were analyzed using a custom developed algorithm and program. The result of the forecasting efficiency of swine delivery was 89%, 71% and 100% using the variation of genitalia are the body shape and the voice of pregnant sow. respectively. The efficiency of image processing was 100% for the delivery detection when the piglet was delivered half of its body from genitalia of pregnant sow, The monitoring and forecasting system informed the estimated time of the delivery of swine to a farm manager immediately if an estimated and established time set by the farm manager was the same and/or the estimated time ws earlier than the established time and the system detected the delivery.

• Fashion & Textile Research Journal
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• v.21 no.6
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• pp.800-812
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• 2019

Secondary diseases that occur during the rehabilitation of breast cancer survivors are factors that can negatively change the physical and psychological state of the patient. The rehabilitation after treatment of breast cancer survivors is an important process to prevent cancer recurrence and increase the survival rate because a negative psychological state significantly impacts the long-term survival rate. This study identifies user requirements for the development of functional bras for mastectomy patients in Korea. Participants included 133 patients with one or more breasts removed due to breast cancer and an average age of 53.2 years (53.21 ± 7.57 years, minimum 33 years, maximum 69 years). Women in their 50s had the highest participation rate of 48.9%. Most maintained the same bra size before surgery; however, some experienced changes in bra size because they are not irritated by wounds caused by surgery. Therefore, it is important to pay attention to material when designing a functional bra because it can irritate the surgical site. Only about 41.4% of bras were worn by breast cancer patients because of price burden and lack of education, not complaints related to clothing design and wearability or body shape. Most purchases at hospitals or medical institutions require consultation with a specialist who provides information about a bra mainly at the hospital. The most important considerations when buying a breast cancer bra were size, fit and shape stability.

• Archives of Plastic Surgery
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• v.41 no.1
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• pp.57-62
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• 2014

Background Achieving symmetry is a key goal in breast reconstruction. Anatomically shaped tabbed expanders are a new tool in the armamentarium of the breast reconstruction surgeon. Suture tabs allow for full control over the expander position and thus inframammary fold position, and, in theory, tabbed expanders mitigate many factors responsible for poor symmetry. The impact of a tabbed expander on breast symmetry, however, has not been formally reported. This study aims to evaluate breast symmetry following expander-implant reconstruction using tabbed and non-tabbed tissue expanders. Methods A chart review was performed of 188 consecutive expander-implant reconstructions that met the inclusion criteria of adequate follow-up data and postoperative photographs. Demographic, oncologic, postoperative complication, and photographic data was obtained for each patient. The photographic data was scored using a 4-point scale assessing breast symmetry by three blinded, independent reviewers. Results Of the 188 patients, 74 underwent reconstruction with tabbed expanders and 114 with non-tabbed expanders. The tabbed cohort had significantly higher symmetry scores than the non-tabbed cohort ($2.82/4{\pm}0.86$ vs. $2.55/4{\pm}0.92$, P=0.034). Conclusions The use of tabbed tissue expanders improves breast symmetry in tissue expander-implant-based breast reconstruction. Fixation of the expander to the chest wall allows for more precise control over its location and counteracts the day-to-day translational forces that may influence the shape and location of the expander pocket, mitigating many factors responsible for breast asymmetry.

• Fashion & Textile Research Journal
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• v.22 no.1
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• pp.76-86
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• 2020

The study surveyed patients undergoing a mastectomy to understand their experience and requirements on artificial breasts and sales status. We retrieved 149 of the 150 surveyed questionnaires; subsequently, 144 questionnaires, excluding missing values, were used in the analysis. According to the results of the study, about 67% of respondents said that artificial breasts were not used after undergoing a mastectomy, and more than half of the breast cancer patients were not aware of the importance of artificial breasts. Breast cancer patients wearing artificial breast felt uncomfortable and hot during daily activities as well as experienced difficulty in size selection and purchase price burdens. The three most responded brands were selected based on the results of the survey that also investigated the sales status of the commercial artificial breast. Company A was selling artificial breast to reflect the consumer's functional requirements, and Company C was selling artificial breast with various kinds of reduced weight. However, it is thought that consumers will have less choice since artificial breasts have more limited forms than various types. Therefore, it is believed that the patient needs artificial breasts that satisfy the shape of various types of mastectomy. This study can be used as basic data for artificial breast development studies.

• Journal of Fashion Business
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• v.4 no.1
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• pp.45-58
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• 2000

The purpose of this study is to provide for the basic data useful to the development of a quality bassiere featuring a good wearing feeling, to investigate the characteristics of breast shapes by age and suggest a brassiere sizing system for woman. For this purpose, the subjects of anthropometry were 220 women aged between 20 and 59. The anthropometric measurements were analyzed by various statistical methods mean, standard deviation, F-test, Duncan-test, Factor analysis, frequency. The results of this study can be summarized as follows; 1. According to the increase of age, the items of height were decreased and items of width, depth, circumference and length were increased, being obeser and breast point were drooped. So volume and bottom area of breast of 40 50's women were larger than 20 30's women and breast point width of 40 50's women was being wider by increase of the interior of breast. 2. From analyzing the effect of brassiere wearing, it was found that brassiere reformed the breast shape with the breast volume transferred from exterior part to interior part and the bottom area of breast diminished, so brassiere can have the breast location of adult woman up and the breast point width being centered 3. It was found that there was no direct linear relationships between under bust girth and cup size from analysis of breast measurements. Therefore those 2 factors(under bust girth and cup size) was brought into basic item of brassiere sizing system. From the dual distribution table whose intervals had been decided by KS K-0070(1999), it was picked out 12 sizes which had more than 4% of appearance for suggesting brassiere size chart. The sizing system covers 76.36% of all subjects and supply reference measurements relevant to brassiere manufacturing.