scholarly journals Fat necrosis as a differential diagnosis for recurrence in a treated case of breast cancer: A case report

2022 ◽  
pp. 535-537
Author(s):  
Avinassh Tippani ◽  
Bachu Brahmani

Fat necrosis is a benign inflammatory process that can involve adipose tissue that most frequently affects peri-menopausal women. It can mimic breast cancer clinically or radiologically. The incidence of breast fat necrosis overall is roughly 0.6%, representing 2.75% of all benign lesions. Fat necrosis presents in 0.8% of breast tumors and 1–9% of breast reduction surgery cases. Most at risk are middle-aged women, with an average age of 50 years, and women with pendulous breasts. Traumatic Fat Necrosis is an important differential diagnosis to be kept in mind in Carcinoma Breast patients who are treated with surgery and adjuvant radiation therapy. We present a case where radiation is followed by a large non-healing ulcer in a known case of breast carcinoma patient.

Author(s):  
Núbia Bernardes Carvalho ◽  
Natália de Paula Lopes e Silva ◽  
Pedro Paulo Nunes Pereira ◽  
André Volani Morganti ◽  
Sinval Lins Silva ◽  
...  

2000 ◽  
Vol 106 (4) ◽  
pp. 755-762 ◽  
Author(s):  
John D. Boice ◽  
Ingemar Persson ◽  
Louise A. Brinton ◽  
Magnus Hober ◽  
Joseph K. McLaughlin ◽  
...  

2000 ◽  
Vol 106 (4) ◽  
pp. 755-762 ◽  
Author(s):  
John D. Boice ◽  
Ingemar Persson ◽  
Louise A. Brinton ◽  
Magnus Hober ◽  
Joseph K. McLaughlin ◽  
...  

2006 ◽  
Vol 72 (5) ◽  
pp. 397-400 ◽  
Author(s):  
Mehra Golshan ◽  
Beth-Ann Lesnikoski ◽  
Susan Lester

Breast reduction surgery is considered a relative contraindication to a sentinel node biopsy because of the possibility that lymphatics have been interrupted by the procedure. We describe six patients who underwent successful sentinel lymph node biopsy for occult carcinomas detected after breast reduction surgery. A subsequent skin-sparing mastectomy, along with a sentinel lymph node biopsy, was performed. Reconstruction was possible in five of six patients. Sentinel lymph node biopsy should not be considered a contraindication after breast reduction surgery.


Breast Care ◽  
2021 ◽  
pp. 1-5
Author(s):  
Albert Niepel ◽  
Sven Schwake ◽  
Mira Zeichmann ◽  
Ariel Noltze ◽  
Viktoria König ◽  
...  

<b><i>Introduction:</i></b> Breast reduction surgery is one of the most frequently performed surgeries amongst plastic and reconstructive surgeons worldwide. Previous studies have shown decreased risk of breast cancer development in women undergoing breast reduction surgery of up to 28%. We aimed to evaluate the relative risk of breast cancer development in our patients after breast reduction surgery in relation to the general female population of Austria. <b><i>Methods:</i></b> A total of 637 women underwent breast reduction surgery between 2003 and 2017 at our department. From those women, 513 patients completed a follow-up assessment of breast cancer development and were included into the study sample. The age-specific incidence rate data of the general female population of Austria served as the control group and basis for the calculation of the standardized incidence ratio (SIR) and Poisson test. <b><i>Results:</i></b> Relative to 5.66 expected cases of breast cancer, our cohort showed 1 subject with breast cancer after breast reduction surgery (SIR = 0.1765). An exact Poisson test was carried out to determine the level of significance of the difference between the incidence rate observed in the sample compared to the expected rate based on the age-specific incidence rates of the general population (<i>p</i> = 0.023, <i>α</i> = 0.05). <b><i>Discussion:</i></b> Our study underlines the strong evidence of previous studies for significant breast cancer reduction in patients after reductive mammoplasty. In comparison to the general female population of Austria, our cohort showed a reduction in breast cancer incidence of about 82%. The authors believe that different techniques in reduction mammoplasty have different levels of safety regarding the prevention and risk reduction for breast cancer. Further investigation must be conducted to evaluate the reduction of breast cancer risk with different surgical techniques.


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