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Pathological findings in breast reduction surgery

O G Titley1, A P Armstrong, J L Christie

  • 1West Midlands Regional Plastic and Jaw Surgery Unit, Wordsley Hospital, Stourbridge, UK.

British Journal of Plastic Surgery
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

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Pathological examination of breast reduction tissue revealed abnormalities in 25.6% of patients, though no cancer was detected. Most surgeons routinely submit tissue for study, highlighting the importance of pathology in breast reduction surgery.

Area of Science:

  • Plastic Surgery
  • Pathology
  • Oncology

Background:

  • Breast reduction surgery is common for aesthetic and reconstructive purposes.
  • Pathological examination of surgical specimens is standard practice in many procedures.
  • The incidence of significant findings in breast reduction tissue requires evaluation.

Purpose of the Study:

  • To analyze the pathological findings in tissue from female breast reduction surgeries.
  • To determine the prevalence of premalignant disease or breast cancer in these specimens.
  • To assess current practices regarding pathological examination of breast reduction tissue.

Main Methods:

  • Retrospective analysis of pathological reports from 157 female patients (295 breasts) over 33 months.
  • A 1994 postal questionnaire survey of British Association of Plastic Surgeons members regarding tissue submission practices.

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Main Results:

  • 25.6% of breast reduction specimens showed abnormal pathology.
  • No cases of premalignant disease or breast cancer were identified in the analyzed tissue.
  • 89% of surveyed surgeons routinely submitted tissue for pathological study.
  • 42% of surgeons had encountered breast cancer reports from reduction tissue.

Conclusions:

  • While routine pathological examination of breast reduction tissue can identify abnormalities, it rarely reveals malignancy.
  • Current practices indicate widespread adherence to pathological study of breast reduction specimens.
  • Recommendations for optimizing the utility of pathology in breast reduction surgery are proposed.