A retrospective analysis of pathological findings in 157 female patien
ts undergoing breast reduction is presented. In 33 months 295 breasts
were reduced. 25.6% of these patients had an abnormal pathology report
, but no cases of premalignant disease or breast cancer were found. A
postal questionnaire sent to consultant members of the British Associa
tion of Plastic Surgeons in 1994 found 89% routinely sent breast reduc
tion tissue for pathological study. 42% had seen at least one case of
breast cancer reported from this tissue. Recommendations for the use o
f pathology in breast reduction surgery are proposed.