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Evaluating the Recommendation for Pre-operative Elective Non-Cancer Related Breast Surgery Mammography for Women Under The Age of 40
Agi, Chika; Kling, Russell; Tobler, William; Gusenoff, Jeffrey A.; De La Cruz, Carolyn; Rubin, Peter J.
University
2016-02-01
Presenter: Chika Agi
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The program director is responsible for making a statement within the confines of the box below specific to how much of the work on this project represents the original work of the resident. All authors/submitters of each abstract should discuss this with their respective program director for accurate submission of information as well as the program director's approval for inclusion of his/her electronic signature.
Director Name: Chika Agi
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Introduction
Many surgeons order routine preoperative mammograms on patients undergoing plastic surgery. Currently, no professional organizations recommend initiating mammography under the age of 40 unless the patient is at high risk for breast cancer. The ASPS Choosing WiselyŽ Campaign recommends against routine pre-operative breast surgery mammography, however there is no primary plastic surgery literature supporting this claim. We aimed to determine the necessity of routine pre-operative mammography in women under age 40 undergoing aesthetic breast surgery.
Methods
All patients between 2002-2015 who underwent elective non cancer-related breast surgery by three plastic surgeons were evaluated. Patients were sorted in to groups based on age of screening mammography: Group 1 (age 35-40), Group 2 (under 35), Group 3 (41-45) and Group 4 (over 45).
Results
308 patients were initially reviewed. 39 (13%) were in Group 1, 112 patients (36%) were in Group 2, 28 (9%) were in Group 3, and 129 (42%) were in Group 4. 77% had a preoperative mammogram in Group 1 (8%, 64%, 60%, respectively). Group 1 had the lowest average Bi-Rads of 1.33 (1.44, 1.61, 1.80, respectively). 23% of Group 1 patients had additional testing and invasive procedures performed (33%, 17%, 22%, respectively).
Conclusion
In our study, women under the age of 40 who had preoperative mammograms prior to non-cancer related breast surgery were subjected to additional testing that was ultimately unnecessary. Our study confirms that preoperative mammograms in plastic surgery should be for patients over age 40 or high risk early breast cancer patients.
