Should the Plastic Surgeon Do a Biopsy on the Breast Before the Surgery?

I had had a breast reduction in 2009, 2010 I was diagonised with invasive ductal cancernoma. I want to to know if the surgeon bridged protocol by not performing a mammogram and or a biopsy on my breast before the reduction .

Doctor Answers 5

Breast reduction

Breast biopsy prior to reduction is not normal protocol. Mammograms can be done if indicated, but may not show microscopic breast cancer. After a reduction the tissue is usually sent to a pathologist and examined. You should be able to get these records from your surgeon if you feel the need.

Good luck.

Columbia Plastic Surgeon
4.9 out of 5 stars 73 reviews

Mammogram or Biopsy before Breast Reduction Surgery?

I'm sorry to hear about your diagnosis of invasive ductal carcinoma;  hopefully, at this point you have undergone successful treatment. To answer your question, there is no specific “protocol” when it comes to mammogram or biopsy of breasts before breast reduction surgery. Much will depend on the specific patient's age, family history, and/or the presence of suspicious lesions.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Breast Biopsy before Breast Reduction

There is no protocol for mammogram or biopsy prior to breast reduction. I usually have patients who are 40 year old and older get a mammogram prior to surgery. Patients who have a significant family history of breast cancer, I will usually recommend a mammogram for payients 30 years old and older.

Lisa M. DiFrancesco, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 34 reviews

Breast biopsy before breast reduction?

Not all patients require a mammogram before breast reduction surgery, and random biopsies of tissue are not recommended in non-suspicious breasts..

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast reduction and biopsy

Lesions get biopsies, not breasts. If you are under 40, then mammogram would not typically be performed nor would it have been covered by insurance. The entire amount resected should be sent for pathological analysis. IDC is a difficult disease and I hope your's was diagnosed early.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.