ABPS ABPS Breast Surgery & Oncoplastic Reconstruction 2 — Questions and Answers
Question 1: Which technique is used to correct tuberous breast deformity by releasing the constricted lower pole?
- Mastopexy with vertical scar only
- Radial scoring of the breast parenchyma (Correct answer)
- Reduction mammaplasty alone
- Implant exchange to larger size
Correct answer: Radial scoring of the breast parenchyma
Radial scoring (release) of the constricted breast parenchyma expands the lower pole and corrects the tuberous deformity.
Question 2: In the Wise-pattern (anchor scar) reduction mammaplasty, which pedicle provides the best nipple vascularity for large reductions?
- Superior pedicle
- Inferior pedicle (Correct answer)
- Lateral pedicle
- Central mound pedicle
Correct answer: Inferior pedicle
The inferior pedicle maintains reliable blood supply to the nipple-areola complex and is the most versatile pedicle for large reductions.
Question 3: Mondor's disease following breast surgery is characterized by thrombophlebitis of which structure?
- Internal mammary vein
- Thoracoepigastric vein (Correct answer)
- Axillary vein
- Lateral thoracic vein
Correct answer: Thoracoepigastric vein
Mondor's disease is superficial thrombophlebitis of the thoracoepigastric vein, presenting as a palpable, cord-like structure on the breast.
Question 4: What is the recommended sentinel lymph node biopsy timing relative to immediate breast reconstruction after mastectomy?
- It should be performed 6 weeks prior to mastectomy
- It is performed at the same surgical setting as mastectomy and reconstruction (Correct answer)
- It must be done after reconstruction is complete
- SLNB is contraindicated with immediate reconstruction
Correct answer: It is performed at the same surgical setting as mastectomy and reconstruction
Sentinel lymph node biopsy is performed concurrently during the mastectomy, before the reconstruction proceeds, in the same operative setting.
Question 5: Which oncoplastic technique involves moving the nipple-areola complex to a higher position while reshaping the remaining breast tissue after partial mastectomy?
- Round block mastopexy
- Level II oncoplastic reduction (Correct answer)
- Latissimus dorsi mini-flap
- Breast implant-based reconstruction
Correct answer: Level II oncoplastic reduction
Level II oncoplastic reduction reshapes the breast parenchyma and repositions the nipple-areola complex following partial mastectomy for tumors requiring significant tissue resection.
Question 6: Fat grafting to the reconstructed breast using the Coleman technique primarily deposits fat in which tissue layer?
- Directly into the implant pocket
- Subcutaneous and intramuscular planes (Correct answer)
- Subglandular space only
- Subdermal plane exclusively
Correct answer: Subcutaneous and intramuscular planes
The Coleman technique deposits fat in multiple small aliquots across subcutaneous and intramuscular tissue layers to maximize graft survival.
ABPS ABPS Breast Surgery & Oncoplastic Reconstruction 2
Which technique is used to correct tuberous breast deformity by releasing the constricted lower pole?