Abstract:Background:
Palpable lumps as sequelae of fat necrosis after fat grafting to the breast may not only cause physical or psychological symptoms to patients but also potentially complicate breast cancer screening. In this article, the authors present their experience in management of fat necrosis following fat grafting for breast augmentation.
Methods:
Over a 5-year period, a total of 685 Asian women (age range, 20 to 58 years) underwent autologous fat tra… Show more
“…Infrequent known forms of lipid cysts such as cysts which have serous-hemorrhagic contents or fat-fluid levels and/or aspergillums and also cysts which show advanced opacification (Fig. 1) [11]. Fig.…”
Breast fat necrosis (FN) originates from aseptic fat saponification, which is a typical lipid cyst or a spiculated lesion called mammographic presentation which mimics malignancy. In order to avoid biopsy, it would be necessary to identify the spectrum of fat necrosis appearances. A systematic research was conducted in October 2018 by using PubMed, MEDLINE, Embase, Google Scholar databases and Google to search for science literature published after 2004. Therefore, the aim of this systematic review, it is that the FN can provide radiologists, surgeons, and oncologists with better insight and help them manage the condition efficiently.
“…Infrequent known forms of lipid cysts such as cysts which have serous-hemorrhagic contents or fat-fluid levels and/or aspergillums and also cysts which show advanced opacification (Fig. 1) [11]. Fig.…”
Breast fat necrosis (FN) originates from aseptic fat saponification, which is a typical lipid cyst or a spiculated lesion called mammographic presentation which mimics malignancy. In order to avoid biopsy, it would be necessary to identify the spectrum of fat necrosis appearances. A systematic research was conducted in October 2018 by using PubMed, MEDLINE, Embase, Google Scholar databases and Google to search for science literature published after 2004. Therefore, the aim of this systematic review, it is that the FN can provide radiologists, surgeons, and oncologists with better insight and help them manage the condition efficiently.
“…Fat necrosis can appear as a postoperative complication after breast reconstruction, and the incidence of fat necrosis after ap-based breast reconstruction is approximately 4-25 % of patients treated with breast-conserving surgery and adjuvant radiotherapy for breast cancer (8,9,11,12,17,18). In the current study, the incidence of fat necrosis was 11.6 %.…”
Section: Discussionmentioning
confidence: 99%
“…Surgical intervention and additional radiotherapy for breast cancer may possibly have some effect on the incidence of fat necrosis (8,9). The incidence of fat necrosis after ap using breast reconstruction has been reported as approximately 4-25 % of patients treated with breast-conserving surgery and adjuvant radiotherapy for breast cancer (10)(11)(12). Fat necrosis usually occurs in the focal area that has poor blood supply, such as the peripheral site of the reconstructed ap.…”
AbstractBackground: Although fat necrosis is a minor postoperative complication after breast reconstruction, occasionally it mimics to tumor recurrence in patients with breast cancer. Therefore, the surgeon should distinguish between benign fat necrosis and true local recurrence. The authors evaluated the clinical characteristics of fat necrosis after breast reconstruction and investigated the natural course of fat necrosis.Methods: Between 2007 and 2013, a total of 362 patients underwent breast reconstruction after partial or total mastectomy for breast cancer in Kyungpook National University Hospital. Clinicopathologic characteristics and the occurrence of fat necrosis were assessed during surveillance for 10 years of mean follow-up period.Results: There were 42 cases (11.6 %) of fat necrosis after breast reconstruction with partial or total mastectomy which were confirmed by needle or excision biopsy. The fat necrosis was resolved after a mean period of 45.9 months (SD, ± 42.1) and 26 cases (61.9 %) of fat necrosis were almost completely resolved (less than 5 mm) during 10-year follow-up period.Conclusion: Based on the natural course of fat necrosis, the fat necrosis after breast reconstruction can be only monitored, if pathologic confirmation was done. More than half of the cases will be resolved within 2–3years.
“…Complications after autologous fat transplantation include unfavorable scarring, fat necrosis, infection, and inadequate correction [4,5]. Complications that usually occur in the short term include edema, hematoma, infection, granuloma and cyst formation, and resorption.…”
Section: Discussionmentioning
confidence: 99%
“…However, even with sophisticated and innovative techniques, autologous fat transplantation is still a challenging procedure with unpredictable outcomes in terms of graft viability and fat necrosis. Non-absorbed fat necrosis may lead to complications such as an oily cyst, sclerotic induration, calcified solid tumors, and infections [4]. In a large-scale study, only one local infection was reported in 880 fat graft procedures in the breast, and it was treated without surgical intervention [5].…”
Many studies have demonstrated that an autologous fat graft (AFG) can be a successful alternative to prosthetic breast augmentation; however, with the increasing use of this method, there are also increasing reports of complications. We report a case of severe infection after augmentation mammoplasty with a massive AFG. A 23-year-old woman had undergone primary AFG for breast augmentation. The remaining fat was reused for secondary graft 46 days after the primary transplantation. The patient was referred to our hospital with infectious signs on both breasts. Antibiotics were administered according to the bacterial culture result of the abscess aspirated with ultrasonography (US) guidance. During antibiotic treatment, two US-guided abscess aspirations were performed. Although follow-up magnetic resonance imaging demonstrated reduced abscess and fluid collection after aspiration, the skin of the lower pole of the right breast was perforated. We performed liposuction with real-time US guidance for abscess localization. The abscess and necrotic fat tissue were removed through liposuction. Thereafter, the symptoms, signs, and laboratory and radiologic findings demonstrated complete improvement. The patient was successfully treated while maintaining the breast contour through localized abscess removal, with a much smaller liposuction scar than would have resulted from aggressive excision or drainage.
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