Incidental Breast Cancer in Reduction Mammaplasty Specimen A Case Report - Journal of Mazandaran University of Medical Sciences
Volume 17, Number 58 (May 2007)                   J Mazandaran Univ Med Sci 2007, 17(58): 145-149 | Back to browse issues page


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Khorasani G, Asadi M, Yazdanazd Z. Incidental Breast Cancer in Reduction Mammaplasty Specimen A Case Report. J Mazandaran Univ Med Sci. 2007; 17 (58) :145-149
URL: http://jmums.mazums.ac.ir/article-1-225-en.html

Abstract:   (6072 Views)
Reduction mammaplasty is increasingly used for the treatment of discomfort associated with macromastia. Breast cancer is a tumor with the highest prevalence and incidence in women. As it can be expected, reduction mammaplasty specimens occasionally reveal breast cancer. So, before reduction mammaplasty, patients should be assessed for breast cancer risk and evaluated by physical examination and mammography. We report here the discovery of breast cancer in specimens from a patient who underwent elective breast reduction. Preoperative mammography showed no evidence of malignancy. But, final pathologic evaluation of reduction specimens revealed foci of “invasive ductal carcinoma” on the left side, therefore the patient underwent modified radical mastectomy. In conclusion, thorough preoperative clinical examination and mammography may reduce the rate of incidentally discovered cancer during reduction mammaplasty procedures. Pathologic examination of RM specimens is imperative, and sending all of them for pathologist is mandatory. These recommendations emphasize breast reduction as an opportunity for detection of occult potential fatal disease in higher risk groups.
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