REDUCTION MASTOPLASTY AND ITS HISTOPATHOLOGICAL FINDINGS AT SANTA CASA DE BELO HORIZONTE

Abstract

Introduction: Reduction mammoplasty surgery aims to obtain an aesthetic and postural balance in patients, and is among the most performed aesthetic surgeries in Brazil. Objective: This study analyzed 181 pathological results of patients aged between 17 and 57 years old, who underwent breast reduction at Santa Casa de Misericórdia de Belo Horizonte. Methodology: A retrospective study of anatomopathological exams of surgical specimens was carried out, and the acquired data were compared to data available in the literature. Results: The analysis showed that most patients from the study had benign pathological findings. Most of them had increased fibroadipose stroma (81.21%), while 9.9% had adenosis, 7.7% had fibrocystic changes,3.3% had columnar cell changes, and 7.18% had breast metaplasia. Conclusion: There is a high prevalence of conditions that require breast reduction and, because of that, it was concluded that benign breast diseases are the main cause of visits to the breast specialist’s office. Thus, it is important for breast surgeons to be familiar with them and be aware of differential diagnosis, rather than malignancy. The majority of benign diseases can be monitored clinically and with imaging exams. Pathological diagnosis is necessary when there is suspicion of malignancy in imaging methods and clinical examination.