Fat Necrosis Simulating Breast Malignancy Following Reduction Mammoplasty: A Case Report.
10.3348/jkrs.2004.51.5.573
- Author:
Yeong Mi PARK
1
;
Eun Kyung KIM
Author Information
1. Department of Diagnostic Radiology, Busan Paik Hospital, Inje University College of Medicine, Korea. nanbarkym@hanmail.net
- Publication Type:Case Report
- Keywords:
Radiography;
Fat, necrosis
- MeSH:
Acoustics;
Biopsy;
Biopsy, Large-Core Needle;
Breast*;
Diagnosis;
Fat Necrosis*;
Female;
Follow-Up Studies;
Humans;
Mammaplasty*;
Mass Screening;
Middle Aged;
Radiography;
Shadowing (Histology);
Ultrasonography
- From:Journal of the Korean Radiological Society
2004;51(5):573-576
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fat necrosis is well depicted on imaging by characteristic findings such as oil cysts. However it may be rarely indistinguishable from carcinoma clinically and radiologically, and require biopsy for diagnosis. We report a case of fat necrosis simulating malignancy following reduction mammoplasty. The screening mammogram of a 63-year-old woman, who had received bilateral reduction mammoplasties 10 months previously, showed an irregular high-density lesion with a spiculated margin in the upper inner quadrant of the left breast. Ultrasonography revealed a 1.5 cm sized, ill-defined, and irregular hypoechoic lesion with posterior acoustic shadowing. The confirm diagnosis was fat necrosis, by ultrasonography-guided core needle biopsy. On the 6-month follow-up ultrasonography, the lesion was found to have decreased in size.
