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Breast-nonmalignant
Procedures
Reduction mammaplasty
Editor: Hind Nassar, M.D., Johns Hopkins Medical Institute (see Reviewers page)
Revised: 26 September 2012, last major update May 2010
Copyright: (c) 2002-2010, PathologyOutlines.com, Inc.
Definition
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● Also spelled mammoplasty
● Common surgical procedure performed for cosmetic purposes or relief of pain
Clinical features
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● Must examine tissue carefully since most have some pathologic change, most commonly fibrocystic changes (Plast Reconstr Surg 2005;115:729)
● Carcinomas are present in 0.5 to 4% (usually microscopic), ADH/ALH in 1-4% (Plast Reconstr Surg 2009;124:1033), moderate/florid hyperplasia, sclerosing adenosis or papilloma in 10% (Am J Clin Pathol 2003;120:377)
● Frequency of neoplasia increases with the patient’s age (Int J Surg Pathol 2008;16:25); increased sampling is recommended in women > 40 years (Plast Reconstr Surg 2009;124:1386)
Micro images
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Reduction mammaplasty specimens
DCIS Invasive ductal carcinoma Lobular carcinoma
Additional references
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End of Breast-nonmalignant > Procedures > Reduction mammaplasty
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