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Breast cancer in reduction mammaplasty specimens: case reports and guidelines
Authors:Keleher Angela J  Langstein Howard N  Ames Frederick C  Ross Merrick I  Chang David W  Reece Gregory P  Singletary S Eva
Affiliation:Departments of Surgical Oncology and;Plastic and Reconstructive Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas
Abstract:Increasing numbers of women of all ages are electing to have reduction mammaplasty for very large breasts. Breast cancer can be an incidental finding in reduction mammaplasty specimens. We report here the discovery of breast cancer in specimens from four patients who underwent elective breast reduction, three of whom had not had recent mammograms. All four patients underwent modified radical mastectomy. The role of mammography, surgical options, specimen evaluation, and practical guidelines are discussed.
Keywords:breast neoplasms    macromastia    reduction mammaplasty    reconstructive surgical procedures    screening mammography
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