Occult Pathologic Findings in Reduction Mammaplasty in 5781 Patients-An International Multicenter Study

Britta Kuehlmann, Florian D Vogl, Tomas Kempny, Gabriel Djedovic, Georg M Huemer, Philipp Hüttinger, Ines E Tinhofer, Nina Hüttinger, Lars Steinstraesser, Stefan Riml, Matthias Waldner, Clark Andrew Bonham, Thilo L Schenck, Gottfried Wechselberger, Werner Haslik, Horst Koch, Patrick Mandal, Matthias Rab, Norbert Pallua, Lukas PrantlLorenz Larcher

Research output: Journal article (peer-reviewed)Journal article

5 Citations (Scopus)


Breast cancer is among the most commonly diagnosed cancers in the world, affecting one in eight women in their lifetimes. The disease places a substantial burden on healthcare systems in developed countries and often requires surgical correction. In spite of this, much of the breast cancer pathophysiology remains unknown, allowing for the cancer to develop to later stages prior to detection. Many women undergo reduction mammaplasties (RM) to adjust breast size, with over 500,000 operations being performed annually. Tissue samples from such procedures have drawn interest recently, with studies attempting to garner a better understanding of breast cancer's development. A number of samples have revealed nascent cancer developments that were previously undetected and unexpected. Investigating these so-called "occult" findings of cancer in otherwise healthy patients may provide further insight regarding risk factors and countermeasures. Here, we detail occult findings of cancer in reduction mammaplasty samples provided from a cohort of over 5000 patients from 16 different institutions in Europe. Although the majority of our resected breast tissue specimens were benign, our findings indicate that there is a continued need for histopathological examination. As a result, our study suggests that preoperative imaging should be routinely performed in patients scheduled for RM, especially those with risk factors of breast cancer, to identify and enable a primary oncologic approach.

Original languageEnglish
Article number2223
Pages (from-to)1-11
Number of pages11
JournalJournal of Clinical Medicine
Issue number7
Publication statusPublished - 13 Jul 2020


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