Breast lipoma with central fat necrosis: case report

Abstract

Fat necrosis of the breast is a benign non-suppurative inflammatory process of adipose tissue that most commonly occurs as the result of minor breast trauma. We present a case of a 40-years-old female with fat necrosis in a breast lipoma. She presented with an overlapping mass on the lateral quadrants. Mammography showed Well delineated radiolucent mass with peripheral “egg-shell” calcifications, that appeared an hypoechoic mass with posterior shadowing on ultrasonography. A history of accidental trauma raises the suspicion of fat necrosis. Pathology is necessary when radiological findings simulate malignancy.

Giant breast lipoma: A case report

“…Ultrasonography (US) and mammography are the first-line examination for routine imaging in the diagnosis of breast diseases [ 7 ]. In mammography, lipoma appears as a round or oval radiolucent mass with well-defined thin capsule [ 8 ]. When a totally-fatty circumscribed mass is found, an accurate mammographical diagnosis can be made and further investigation is then unnecessary.…”

Mesenchymal Tumors of the Breast: Fibroblastic/Myofibroblastic Lesions and Other Lesions

“…If classic radiologic appearance is lacking, then tissue diagnosis should be pursued [129]. CNB is preferred as a diagnosis can be challenging due to the presence of substantial adjacent adipocytic tissue [130].…”