Background: Many articles published in the last decades have shown the incidence of histological alterations in samples of tissues proceeding from reducing mammoplasty. However, in the literature, is extremely scarce studies that correlate age and histopathological findings by a detailed way. The authors had the purpose to show and to argue the histopathological findings in accordance with the age, of the samples from the patients submitted to the reducing mammoplasty. Method: The authors had evaluated the results of histopathological examination of 1018 surgical parts proceeding from reducing mammoplasty performed in the Plastic Surgery Service of a university hospital, that had been divided in two groups: findings of patients with age under 35 years old (Group 1) and findings of patients with age at or above 35 years old (Group 2). Results: Fibrosclerosis (42.24%) and greasy infiltration (34.87%) had been the most frequent alterations. Three cases of ductal epithelial hyperplasia and atypical lobular hyperplasia, considered pre-malignant alterations, had been found. Carcinoma in situ or invader carcinoma was not found. Conclusions: The authors had concluded that can be argued with the patient and/or with the family the request of the histopathological examination in surgical parts proceeding from reducing mammoplasty in women under 35 years old (with normal clinical examination, without familiar history of breast cancer). Otherwise, it is obligate the request of this exam in the surgical parts proceeding from women with age at or above 35 years old, because this study, in concense with other literature papers, show that, in this last age band, there is a higher incidence of breast pre-malignant alterations (p< 0.05).
Keywords: Breast, pathology, surgery. Breast disease, diagnosis. Breast neoplasms