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case_images: Ultrasonography images showed similar hypoechoic lesions with sharp demarcation and partial calcification.
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case_images: Preoperative ultrasonography (US) and mammography (MMG) showed bilateral multiple nodules of BI-RADs category 3 or 4a ranging from 0.6 to 3.5 cm in diameter (Figures 1 and 2).
case_images: Mammography images showed diffuse high-density lesions with sharp demarcation in the bilateral breasts.
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case_images: Preoperative ultrasonography (US) and mammography (MMG) showed bilateral multiple nodules of BI-RADs category 3 or 4a ranging from 0.6 to 3.5 cm in diameter (Figures 1 and 2).
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case_images: Preoperative photograph showed pendulous breasts with a low level of the bilateral nipples and preoperative mapping with the new areolar positions marked.
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case_images: The midline, inframammary fold, and axial line passing through the volumetric center of each breast were also marked (Figure 3).
case_images: Operative incision diagram. The thick lines represent the incisions during our operation. The oblique line areas were de-epithelialized, while the area below the nipple-areolar complex (cross-lined area) was de-epithelialized and then folded and attached over the pectoral fascia.
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case_images: T pattern without difficulty. The final resected volume (including nodules) was 380 mL on each side (Figure 4).
case_images: Display of all of excised fibroadenomas by size in the bilateral mammary glands.
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case_images: These nodules were round or elliptical with intact fibrous capsules, and the cut sections of the nodules were grayish-white with a partly gelatinous and partly calcified texture (Figure 5).
case_images: Representative histologic sections from the fibroadenomas (hematoxylin and eosin, x100).
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case_images: (a) Postoperative view at the 7-day follow-up and (b) Postoperative view at the 3-month follow-up with well-maintained contour of the bilateral breasts.
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case_images: The cosmetic outcome was also evaluated by two breast surgeons, who judged the result as good at 3 months postoperatively according to the Harvard scale   (Figure 7).