Carcinoma of the breast occurring in routine reduction mammaplasty

We report the case of an 18-year-old female undergoing routine reduction mammaplasty in whom bilateral diffuse intraductal cribriform breast carcinoma was reported upon review of the surgical specimen. This highlights the importance not only of sending specimens for pathologic examination, but also of marking the specimens accurately by location, such as medial, central, and lateral. Treatment with bilateral modified radical mastectomy with lower axillary dissection and immediate reconstruction with autogenous tissue is reported.