Journal
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
Volume 85, Issue -, Pages 114-119Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bjps.2023.06.061
Keywords
Gender-affirming surgery; Breast cancer; Transgender; Chest contouring surgery; Transmen
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This study retrospectively analyzed data from 220 patients to investigate the importance of preoperative imaging and postoperative histopathological analysis of excised breast tissue. The results showed that 98.5% of patients had normal preoperative imaging results, and there were no high-risk or malignant findings in the histopathological analysis. Therefore, histopathological examination of excised breast tissue is still recommended.
Background: Chest contouring is the most common surgical procedure transmen receive. Only a few articles discuss the importance of preoperative imaging and post- operative histopathological analysis of excised breast tissue. We studied the findings of preoperative breast imaging and the results of postoperative histopathological analysis in a clinical setting.Materials and methods: Data from 220 patients were collected retrospectively from 2005 to 2018. Preoperative imaging modalities and their findings were recorded and classified according to the American College of Radiology Breast Imaging Reporting and Data System. The histopathological findings in breast specimens were categorized based on the World Health Organization Classification of Breast Tumors (5th edition).Results: Preoperative imaging was performed in 133 (60.5%) patients. Patients in the ultrasound-only group were younger (mean age 22.8) than the other groups (mammogram (MGR) 37 years and MGR+US 35.5 years). Preoperative imaging results were normal in 131 (98.5%) patients. Two patients needed further evaluation. Histopathological results were available on 206 (93.6%) patients. The most common histopathological findings were fibrosis (67.5%), atrophy (34.3%), and chronic mastopathy (14.5%). There were no high-risk or malignant findings.Conclusions: The need for further examinations based on routine preoperative imaging was low (1.5%). Therefore, more individualized patient selection for preoperative imaging is justified. There were no high-risk or malignant findings in histopathological analysis, and the occurrence of benign findings was similar to that reported in previous studies. Despite our findings, based on current knowledge, histopathological examination of excised breast tissue can still be recommended. Therefore, future studies are needed to define clear guidelines. (c) 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd.
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