Pathology Resident Wiki

Reduction mammoplasty

557pages on
this wiki
Add New Page
Talk0 Share


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.

Fresh HandlingEdit

  • The requisition may ask you to “call O.R. with weight.”
  • Offer tissue for tumor banking.
  • Fix in formalin.

Grossing InEdit

  • 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

Ad blocker interference detected!

Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers

Wikia is not accessible if you’ve made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected.