Reduction mammoplasty specimens from patients above age 35 should be carefully examined and multiple sections submitted. Carcinoma is found unexpectedly in approximately 1 in 200 such patients. If reduction is performed on a patient who has a known carcinoma in same or opposite breast, consult with staff.
- The requisition may ask you to “call O.R. with weight.”
- Offer tissue for tumor banking.
- Fix in formalin.
- Weigh these specimens and record weight in gross description.
- Section at 1 cm intervals and carefully examine for lesions.
- Summary of Sections:
- 3 (each side) for patients less than 35 years
- 6 (each side) for patients more than 35 years
- Include skin in one section, if present.
- Consult staff if patient has known carcinoma in same or contralateral breast (sometimes they are reduced to make it cosmetically similar to a prosthesis)
Submit the case in a bucket designated for “breast”, “fat”, or “16 hour” processing (all of these mean the same thing).
Review and SignoutEdit
1. Breast, right, reduction mammoplasty:
- Benign breast tissue.
- Benign breast tissue, no tumor seen.
- Breast tissue with non-proliferative fibrocystic changes, no tumor seen.
Return to Breast Grossing