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I read with interest the recent article by Cook et al. and do agree that
examination of breast reduction specimen is beneficial since incidental
malignancy/high risk lesions are well documented.The problem has often
been one of examination of relatively large breast reduction specimens
with attendant time and resource constraints, often requiring random
Specimen mammography (...
Specimen mammography (SM) offers an efficient and potentially less time
consuming method of examining the breast reduction specimen.The use of SM
is currently limited to a few units. A recent survey (in-press) of Plastic
Surgeons of UK and Ireland however revealed that only 5 % of a total of
260 surgeons request SM routinely, 7% occasionally do while 88% never
Only one study has addressed the role of mammography in breast
reduction; Ozmen et al in a relatively small case series of forty women
investigated the potential benefits of specimen radiography in detection
of breast pathologies in breast reduction tissue,they found the use of SM
useful specifically in guiding the histopathologist to high risk areas to
Thus the question of SM is one that needs to be addressed , especially
from a cost-benefit viewpoint.
1) Iwuagwu OC, Platt AJ, Drew PJ Reduction Mammoplasty in UK &
Ireland- current trends. In Press BJPS.
2) Ozmen S, Yavuzer R, Latifoglu O, Ayhan S ,Tuncer S ,Yazici I,
Atabay K. Specimen radiography: an assessment method for reduction
mammaplasty materials. Aesth. Plast. Surg. Vol. 25: 432-435,2001.