Can We Be Sure About a Radiological Diagnosis of Fat Necrosis of the Breast?

Harrison, Rachel; Britton, P.D.; Warren, Ruth; Bobrow, Lynda G.

doi:10.1053/crad.1999.0334

Cited by 14 publications

(7 citation statements)

References 8 publications

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“…The radiological appearance of lipoma with central fat necrosis of the breast associating radiological signs of both lipoma and fat necrosis is characteristic and may not require any additional work-up [8]. When any suspicious features for malignancy are noticed (dense or irregular mass, architectural distortion, or suspicious calcifications are found on mammogram) biopsy and pathology examination should be considered [9]. …”

Section: Discussionmentioning

confidence: 99%

Breast lipoma with central fat necrosis: case report

Bouroumane¹,

Khalil²,

Khalil³

et al. 2016

Pan Afr Med J

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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.

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Section: Discussionmentioning

confidence: 99%

Breast lipoma with central fat necrosis: case report

Bouroumane¹,

Khalil²,

Khalil³

et al. 2016

Pan Afr Med J

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“…In one retrospective study of 23 histologically proven cases of fat necrosis, 57% of 21 mammograms were completely normal, while sonography showed an abnormality in all 23 cases; 74% of the sonograms were interpreted as possible malignancy (13).…”

Section: Discussionmentioning

confidence: 99%

Membranous Fat Necrosis of the Breast: Diagnosis by Minimally Invasive Technique

Haj

Loberant²,

Salamon³

et al. 2004

Breast Journal

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Clinical and mammographic features of membranous fat necrosis (MFN) may simulate breast malignancy and tissue sampling is essential for accurate diagnosis. The aim of our study was to evaluate the clinical and imaging findings in these patients. Retrospective review of the records of breast biopsies (n = 1200) during the 5-year period 1998 to 2002 revealed eight (0.67%) cases of histologically proven MFN. Seven of the eight patients had a history of breast trauma or surgery. Seven patients underwent mammography: normal in two, a mass with curvilinear calcifications in one, and heterogeneous calcifications in four. Four patients underwent surgical excision of a palpable mass, one patient had complete excision of calcifications with large core biopsy technique, and three patients had stereotactic vacuum-assisted mammotome biopsy (VAMB). MFN should be included in the differential diagnosis of lesions in a breast with previous trauma or surgery. A minimally invasive diagnostic procedure should be considered in order to avoid excessive excisional surgery.

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“…Fat necrosis is a benign and relatively common condition of the breast that may mimic breast cancer in some cases [1,2,3,4,5]. Fat necrosis is usually a non-palpable and an incidental mammographic finding, but may also present as a breast lump at palpation [5].…”

Section: Discussionmentioning

confidence: 99%

“…Fat necrosis is usually a non-palpable and an incidental mammographic finding, but may also present as a breast lump at palpation [5]. Histologically, it is a sterile inflammatory process containing fat-filled macrophages and foreign-body giant cells [7].…”

Section: Discussionmentioning

confidence: 99%

“…The range of mammographic appearances is wide: calcified or non-calcified lipid cysts, microcalcifications, and spiculated areas of increased density and focal masses have been reported as manifestations of this process [1,2,3,4,5]. The ultrasonographic features are equally varied: solid masses, complex masses with mural nodules, complex masses with echogenic bands, and anechoic masses with posterior acoustic enhancement and anechoic masses with posterior shadowing [6].…”

Section: Discussionmentioning

confidence: 99%

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Atypical evolution of a calcified lipid cyst presenting spontaneously as a suspicious cluster of microcalcifications

et al. 2001

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We report an infrequent mammographic case in which a gross-calcified lipid cyst evolved spontaneously to form a cluster of pleomorphic microcalcifications which were indistinguishable from those seen in breast cancer. The biopsy performed was consistent with fat necrosis. Ultrasonography of the specimen showed a nodule with mixed echogenicity surrounded by a hypoechoic rim. To our knowledge, this behavior is extremely rare, with only one similar case reported in the literature.

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Can We Be Sure About a Radiological Diagnosis of Fat Necrosis of the Breast?

Cited by 14 publications

References 8 publications

Breast lipoma with central fat necrosis: case report

Breast lipoma with central fat necrosis: case report

Membranous Fat Necrosis of the Breast: Diagnosis by Minimally Invasive Technique

Atypical evolution of a calcified lipid cyst presenting spontaneously as a suspicious cluster of microcalcifications

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