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Fat Necrosis of the Breast
Jack E. Meyer, MD;
Paul Silverman, MD;
Lalita Gandbhir, MD
Arch Surg. 1978;113(7):801-805.
Abstract
• Fat necrosis of the breast is an uncommon entity but may mimic malignancy on both mammographic and clinical examination. Seven patients had recent excisional breast biopsy specimens that showed fat necrosis.
The mammographic appearance is a reflection of the reparative phase of the lesion, with a cystic appearance representing early or incomplete healing. Progression to connective tissue invasion appears as an irregular, dense, spiculated mass. Clinically, these tumors may be firm, fixed, and produce overlying skin or nipple retraction. No matter how strong the clinical suspicion that a breast lesion represents fat necrosis, an excisional biopsy is necessary for confirmation in all cases.
(Arch Surg 113:801-805, 1978)
Author Affiliations
From the Departments of Radiology and Pathology, Pondville Hospital, Walpole, Mass (Drs Meyer, Silverman, and Gandbhir); the University of Massachusetts Medical School, Worcester (Dr Meyer); and Boston University School of Medicine (Dr Meyer).
Footnotes
Accepted for publication Jan 17, 1978.
Reprint requests to Pondville Hospital, PO Box 111, Walpole MA 02081 (Dr Meyer).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Kim et al.
J Ultrasound Med 2005;24:663-680.
ABSTRACT
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