Reduction Mammoplasty
There
are no rigid criteria that dictate the num-ber of sections to submit from
reduction mam-moplasty. In the absence of such criteria, a few considerations
provide some helpful guidelines for specimen sampling. First, thorough gross
examination of the thinly sliced specimen is the key to identifying clinically
significant lesions. Second, because the risk of breast cancer in-creases with
age, submit relatively more sections from specimens removed from older
patients.
We suggest submitting three sections from patients under 30 years of age and five sections from patients over 50 years of age. Third, because carcinomas and atypical hyperplasias are much more likely to involve fibrous breast tissue than fatty breast tissue, sections should selectively target dense and fibrotic breast parenchyma. The identification of atypical lesions or carcinoma on these initial sections indicates the need to go back to the specimen to obtain additional sections.
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