The management of incidental findings of reduction mammoplasty specimens

Jessica T. Goodwin, Chantelle DeCroff, Emilia Dauway, Amelia Sybenga, Raman C. Mahabir

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Reduction mammoplasty is one of the most commonly performed procedures in plastic surgery. Occasionally, there are findings reported by pathologists that are unfamiliar to the treating surgeon. The aim of the present study was to determine the types of pathologies encountered in reduction mammoplasty specimens. From this list of diagnoses, a best practice guideline for management will be organized to better assist plastic surgeons in the management of patients with incidental findings on pathology reports. A total of 441 pathology reports from patients who underwent bilateral or unilateral reduction mammoplasty in the past three years were identified. A list of 21 different pathologies was generated from the pathology reports, along with supplemental data from recent texts and articles. Occult carcinomas were encountered in two cases (0.45%) and high-risk lesions were found in three cases (0.68%) at the authors' institution. An algorithm was then constructed to organize the pathologies according to risk of malignancy and assign them to a management guideline. There are many different lesions encountered incidentally in reduction mammoplasty specimens that may or may not confer some cancer risk. It is important for plastic surgeons to know which lesions need closer follow-up to provide the best care for their patients.

Original languageEnglish (US)
Pages (from-to)226-228
Number of pages3
JournalCanadian Journal of Plastic Surgery
Volume21
Issue number4
StatePublished - Dec 2013
Externally publishedYes

Fingerprint

Incidental Findings
Mammaplasty
Pathology
Practice Guidelines
Practice Management
Plastic Surgery
Neoplasms
Patient Care
Guidelines
Carcinoma
Surgeons

Keywords

  • Breast
  • Incidental
  • Mammoplasty
  • Pathology
  • Reduction
  • Specimen

ASJC Scopus subject areas

  • Surgery

Cite this

Goodwin, J. T., DeCroff, C., Dauway, E., Sybenga, A., & Mahabir, R. C. (2013). The management of incidental findings of reduction mammoplasty specimens. Canadian Journal of Plastic Surgery, 21(4), 226-228.

The management of incidental findings of reduction mammoplasty specimens. / Goodwin, Jessica T.; DeCroff, Chantelle; Dauway, Emilia; Sybenga, Amelia; Mahabir, Raman C.

In: Canadian Journal of Plastic Surgery, Vol. 21, No. 4, 12.2013, p. 226-228.

Research output: Contribution to journalArticle

Goodwin, JT, DeCroff, C, Dauway, E, Sybenga, A & Mahabir, RC 2013, 'The management of incidental findings of reduction mammoplasty specimens', Canadian Journal of Plastic Surgery, vol. 21, no. 4, pp. 226-228.
Goodwin JT, DeCroff C, Dauway E, Sybenga A, Mahabir RC. The management of incidental findings of reduction mammoplasty specimens. Canadian Journal of Plastic Surgery. 2013 Dec;21(4):226-228.
Goodwin, Jessica T. ; DeCroff, Chantelle ; Dauway, Emilia ; Sybenga, Amelia ; Mahabir, Raman C. / The management of incidental findings of reduction mammoplasty specimens. In: Canadian Journal of Plastic Surgery. 2013 ; Vol. 21, No. 4. pp. 226-228.
@article{03d8aec75b414dd489d2c250dc531f1c,
title = "The management of incidental findings of reduction mammoplasty specimens",
abstract = "Reduction mammoplasty is one of the most commonly performed procedures in plastic surgery. Occasionally, there are findings reported by pathologists that are unfamiliar to the treating surgeon. The aim of the present study was to determine the types of pathologies encountered in reduction mammoplasty specimens. From this list of diagnoses, a best practice guideline for management will be organized to better assist plastic surgeons in the management of patients with incidental findings on pathology reports. A total of 441 pathology reports from patients who underwent bilateral or unilateral reduction mammoplasty in the past three years were identified. A list of 21 different pathologies was generated from the pathology reports, along with supplemental data from recent texts and articles. Occult carcinomas were encountered in two cases (0.45{\%}) and high-risk lesions were found in three cases (0.68{\%}) at the authors' institution. An algorithm was then constructed to organize the pathologies according to risk of malignancy and assign them to a management guideline. There are many different lesions encountered incidentally in reduction mammoplasty specimens that may or may not confer some cancer risk. It is important for plastic surgeons to know which lesions need closer follow-up to provide the best care for their patients.",
keywords = "Breast, Incidental, Mammoplasty, Pathology, Reduction, Specimen",
author = "Goodwin, {Jessica T.} and Chantelle DeCroff and Emilia Dauway and Amelia Sybenga and Mahabir, {Raman C.}",
year = "2013",
month = "12",
language = "English (US)",
volume = "21",
pages = "226--228",
journal = "Plastic Surgery",
issn = "2292-5503",
publisher = "Sage Publications",
number = "4",

}

TY - JOUR

T1 - The management of incidental findings of reduction mammoplasty specimens

AU - Goodwin, Jessica T.

AU - DeCroff, Chantelle

AU - Dauway, Emilia

AU - Sybenga, Amelia

AU - Mahabir, Raman C.

PY - 2013/12

Y1 - 2013/12

N2 - Reduction mammoplasty is one of the most commonly performed procedures in plastic surgery. Occasionally, there are findings reported by pathologists that are unfamiliar to the treating surgeon. The aim of the present study was to determine the types of pathologies encountered in reduction mammoplasty specimens. From this list of diagnoses, a best practice guideline for management will be organized to better assist plastic surgeons in the management of patients with incidental findings on pathology reports. A total of 441 pathology reports from patients who underwent bilateral or unilateral reduction mammoplasty in the past three years were identified. A list of 21 different pathologies was generated from the pathology reports, along with supplemental data from recent texts and articles. Occult carcinomas were encountered in two cases (0.45%) and high-risk lesions were found in three cases (0.68%) at the authors' institution. An algorithm was then constructed to organize the pathologies according to risk of malignancy and assign them to a management guideline. There are many different lesions encountered incidentally in reduction mammoplasty specimens that may or may not confer some cancer risk. It is important for plastic surgeons to know which lesions need closer follow-up to provide the best care for their patients.

AB - Reduction mammoplasty is one of the most commonly performed procedures in plastic surgery. Occasionally, there are findings reported by pathologists that are unfamiliar to the treating surgeon. The aim of the present study was to determine the types of pathologies encountered in reduction mammoplasty specimens. From this list of diagnoses, a best practice guideline for management will be organized to better assist plastic surgeons in the management of patients with incidental findings on pathology reports. A total of 441 pathology reports from patients who underwent bilateral or unilateral reduction mammoplasty in the past three years were identified. A list of 21 different pathologies was generated from the pathology reports, along with supplemental data from recent texts and articles. Occult carcinomas were encountered in two cases (0.45%) and high-risk lesions were found in three cases (0.68%) at the authors' institution. An algorithm was then constructed to organize the pathologies according to risk of malignancy and assign them to a management guideline. There are many different lesions encountered incidentally in reduction mammoplasty specimens that may or may not confer some cancer risk. It is important for plastic surgeons to know which lesions need closer follow-up to provide the best care for their patients.

KW - Breast

KW - Incidental

KW - Mammoplasty

KW - Pathology

KW - Reduction

KW - Specimen

UR - http://www.scopus.com/inward/record.url?scp=84888599439&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888599439&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84888599439

VL - 21

SP - 226

EP - 228

JO - Plastic Surgery

JF - Plastic Surgery

SN - 2292-5503

IS - 4

ER -