BREAST MASS-FAT NECROSIS

Question 1

(1) Rare lesion of the breast
(a) Produces a mass (often accompanied by skin or nipple retraction)
(2) Usually indistinguishable from carcinoma even with imaging studies
(3) Commonly seen after fat injections to augment breast size or fill defects after breast surgery
(4) Trauma is presumed to be the cause
(5) Ecchymosis is occasionally present
(6) If untreated, the mass gradually disappears
(7) The safest course is to obtain a biopsy
(a) Core needle biopsy is often adequate
(b) Frequently entire mass must be excised to exclude carcinoma
(8) Fat necrosis is common after segmental resection, radiation therapy,
or flap reconstruction after mastectomy

Answer 1

Just bullet points