case_images: PMC5306971_01
case_images: Preoperative anterior and lateral view. The breast measurement was as follows: suprasternal notch-to-nipple distance was 36 cm bilaterally, nipple-to-IMF distance was 26 cm bilaterally, and nipple-to-nipple distance was 21 cm.
case_images: CRIS2017-3491012.001.jpg
case_images: PMC5306971_01_CRIS2017-3491012.001.jpg
case_images: fig1
case_images: The breast measurements were as follows: suprasternal notch-to-nipple distance was 36 cm bilaterally, nipple-to-IMF distance was 26 cm bilaterally, and nipple-to-nipple distance was 25 cm (Figure 1).
case_images: Resected breast tissue. Total amount of 7300 grams of tissue was removed (right breast = 3500 grams; left breast = 3800 grams).
case_images: CRIS2017-3491012.002.jpg
case_images: PMC5306971_01_CRIS2017-3491012.002.jpg
case_images: fig2
case_images: A total of 7300 grams of tissue had been resected, accounting for 14.9% of patient total body weight (Figure 2).
case_images: Histological appearance of the left breast in haematoxylin and eosin (H&E) stain. An increase in the interlobular stroma, composed of abundant collagen and fat, was seen. Duct was lined by the normal two-tier epithelium without atypia or hyperplasia. The right breast showed similar appearance.
case_images: CRIS2017-3491012.003.jpg
case_images: PMC5306971_01_CRIS2017-3491012.003.jpg
case_images: fig3
case_images: Duct was lined by the normal two-tier epithelium without atypia or hyperplasia (Figure 3).
case_images: Postoperative views at a 5-year follow-up. No hypertrophic recurrence was observed. Note that the position of the NAC is slightly higher on the left and the breast demonstrates a boxy shape and bottomed-out appearance.
case_images: CRIS2017-3491012.004.jpg
case_images: PMC5306971_01_CRIS2017-3491012.004.jpg
case_images: fig4
case_images: However, we noted that the NAC position was higher on the left and the breast demonstrated a boxy shape and a bottomed-out appearance at this stage (Figure 4).