Fat necrosis of the breast: clinical, mammographic and sonographic features

Bilgen, Işıl Günhan; Üstün, Esin Emin; Memiş, Ayşenur

doi:10.1016/s0720-048x(00)00303-x

Cited by 116 publications

(63 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fat necrosis is a benign consequence of trauma caused by the action of tissue lipases on released fat, a process known as fat saponification [23]. Clinically, fat necrosis can be nonpalpable or a mobile or fixed mass, often near the skin or nipple -sites most susceptible to trauma [23].…”

Section: Fat Necrosismentioning

confidence: 99%

“…Clinically, fat necrosis can be nonpalpable or a mobile or fixed mass, often near the skin or nipple -sites most susceptible to trauma [23]. The US appearance can range widely depending on the degree of inflammatory response.…”

Section: Fat Necrosismentioning

confidence: 99%

“…An anechoic oil cyst with posterior acoustic enhancement or shadowing occurs when there is little tissue reaction. In contrast, a complex cyst with mural nodules or a solid spiculated mass can manifest following inflammatory fibrotic reactions [22,23]. The appearance of fat necrosis can change over time as the necrotic fat liquefies, leading to fatfluid levels and internal debris [18].…”

Section: Fat Necrosismentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound of pediatric breast masses: what to do with lumps and bumps

2015

View full text Add to dashboard Cite

The approach to breast masses in children differs from that in adults in many ways, including the differential diagnostic considerations, imaging algorithm and appropriateness of biopsy as a means of further characterization. Most pediatric breast masses are benign, either related to breast development or benign neoplastic processes. Biopsy is rarely needed and can damage the developing breast; thus radiologists must be familiar with the imaging appearance of common entities so that biopsies are judiciously recommended. The purpose of this article is to describe the imaging appearances of the normally developing pediatric breast as well as illustrate the imaging findings of a spectrum of diseases, including those that are benign (fibroadenoma, juvenile papillomatosis, pseudoangiomatous stromal hyperplasia, gynecomastia, abscess and fat necrosis), malignant (breast carcinoma and metastases), and have variable malignant potential (phyllodes tumor).

show abstract

Section: Fat Necrosismentioning

confidence: 99%

Section: Fat Necrosismentioning

confidence: 99%

Section: Fat Necrosismentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound of pediatric breast masses: what to do with lumps and bumps

2015

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4] Some palpable cases of fat necrosis may not be seen on sonography. 3,4 Contemporary sonographic equipment has been shown to be very accurate in the evaluation of skin morphologic characteristics 5 without the use of a standoff pad. We were able to recognize the isoechoic lesion in the breast because of the change in the sonographic appearance of the epidermis.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Findings of Palpable Isoechoic Breast Fat Necrosis

Crystal

Bukhanov

2005

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

at necrosis is a cause of palpable breast lesions. Sonography is commonly used before mammography in young patients with palpable lumps. We describe a case of isoechoic breast fat necrosis that was detected because of extension to the skin. We are unaware of other reports of an isoechoic appearance of fat necrosis. Case ReportA 47-year-old woman had a new mass in the right breast. She had no notable medical history. Her last screening mammography 8 months beforehand was unremarkable. On physical examination she had a tender, smooth nodule in the right lower outer quadrant measuring 1 cm in diameter. Breast sonography was performed on an HDI 5000 system (Philips Medical Systems, Bothell, WA) with a broadband 5-to 12-MHz linear array transducer. Sonography revealed an isoechoic mass that was almost indiscernible along with neighboring breast tissue ( Figure 1A). There was no posterior acoustic shadowing. Doppler sonography did not show vascularity in the lesion. The extension of this mass to the hypodermis ( Figure 1A) was very helpful for lesion detection. Subsequent mammography with a lead marker signifying the location of the palpable mass showed a circumscribed area of lucency with a thin capsule ( Figure 1B), a finding compatible with a lipid cyst. Such a pathognomonic mammographic appearance does not require any additional workup, and routine follow-up was recommended. DiscussionFat necrosis of the breast is a benign process that may be mistaken for cancer on clinical examination or imaging studies. Pathologically, fat necrosis is a sterile, inflamma-

show abstract

“…It may be associated with inflammatory skin changes, nipple retraction, and lymphadenopathy occasionally mimicking carcinoma. 27 The mammographic and sonographic findings of fat necrosis are occasionally indistinguishable from those of carcinoma, 28 and therefore biopsy may be necessary. Fat necrosis confers no increased risk of breast cancer.…”

Section: Common Histologic Findings On Breast Biopsymentioning

confidence: 99%

Clinician's Guide to Imaging and Pathologic Findings in Benign Breast Disease

Neal

Tortorelli

Nassar

2010

Mayo Clinic Proceedings

View full text Add to dashboard Cite

The discussion of abnormal results of breast imaging and abnormal pathologic findings can be challenging for health care professionals and often is stressful for patients. Although most imaging findings and biopsy results are negative and do not infer a substantial increase in breast cancer risk, the subsequent conversation between the patient and her practitioner is more effective and informative with a thorough review of the pathologic results and an appreciation of the importance of radiologic-histologic concordance. This article provides insight into and understanding of breast imaging and biopsy techniques and of histologic findings as a means to timely and appropriate decision making and action by the patient and her health care professional. © 2010 Mayo Foundation for Medical Education and ResearchOn completion of this article, you should be able to (1)

show abstract

Fat necrosis of the breast: clinical, mammographic and sonographic features

Cited by 116 publications

References 7 publications

Ultrasound of pediatric breast masses: what to do with lumps and bumps

Ultrasound of pediatric breast masses: what to do with lumps and bumps

Sonographic Findings of Palpable Isoechoic Breast Fat Necrosis

Clinician's Guide to Imaging and Pathologic Findings in Benign Breast Disease

Contact Info

Product

Resources

About