The Many Faces of Fat Necrosis in the Breast

Taboada, Jorge L.; Stephens, T.W.; Krishnamurthy, Savitri; Brandt, Kathleen R.; Whitman, Gary J.

doi:10.2214/ajr.08.1250

Cited by 160 publications

(123 citation statements)

References 9 publications

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“…Margins may vary as well, from well circumscribed to spiculated. A mass with internal bands that shift in orientation with changes in patient positioning is a specific indicator of fat necrosis on US [35]. Cystic changes and benign seromas also may be easily evaluated with US.…”

Section: Flapsmentioning

confidence: 99%

A review of breast imaging following mastectomy with or without reconstruction in an outpatient community center

Destounis¹,

Morgan²,

Arieno³

et al. 2011

Breast Cancer

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Despite developments in surgical technique, radiation treatment, and chemotherapeutic agents, tumor recurrence and distant disease have remained a major concern in breast cancer management. Breast imaging after mastectomy in the screening arena remains a controversial topic for breast imagers. Many feel the yield of finding a recurrent cancer with imaging in the asymptomatic patient is too low to be beneficial; others believe imaging should be performed on these patients as the risk of recurrence exists. Patients after a mastectomy procedure are considered high risk and, when they present with clinical symptoms, will require evaluation by the radiologist. In this diagnostic/symptomatic scenario, imaging becomes the routine and current imaging tools, such as mammography, ultrasound, and magnetic resonance imaging (MRI), can easily be incorporated to diagnose recurrent cancer. Our facility has a large population of patients that undergo mastectomy after a carcinoma diagnosis as well as a number of patients that have undergone a mastectomy procedure because of their high-risk status (whether family history or genetic predisposition). A certain percentage of these patients have proceeded to reconstructive surgery. We image these patients routinely as part of our screening protocol. Over the years we have become familiar with the appearance of remaining tissue along the chest wall after mastectomy as well as the reconstructed breasts. This familiarity is important as the imaging of these patients with mammography and other modalities available today can be challenging. This manuscript will discuss the benefits and some limitations surrounding imaging these patients, in both the asymptomatic and symptomatic scenarios, as well as what imaging protocols can be integrated within a facility's standard evaluation.

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Section: Flapsmentioning

confidence: 99%

A review of breast imaging following mastectomy with or without reconstruction in an outpatient community center

Destounis¹,

Morgan²,

Arieno³

et al. 2011

Breast Cancer

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show abstract

“…Benign MRI features include high signal intensity on T1-weighted images and low signal intensity on fat-suppressed images suggesting fat, local cutaneous involvement, and continuous rim enhancement on MRI kinetic analysis instead of a wash-out curve. [6][7][8]12 During the reparative and final stage, however, breast panniculitis might present with indistinct or spiculated margins and architectural distortion on ultrasonography, mammography, and MRI, which might be indistinguishable from breast malignancy especially when the inflammatory changes are associated with vasculitis. [6][7][8]12 With increasing use of CT for a variety of diagnostic pathways, breast incidentalomas are identified more frequently, even though benign and malignant lesions might not be safely distinguished from each other on standard chest CT imaging.…”

Section: Discussionmentioning

confidence: 99%

Nonsuppurative Nodular Panniculitis of the Breast

Rotaru

Punga

Codreanu

et al. 2015

Clinical Breast Cancer

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“…While these deposits are typically smooth, round, or curvilinear, some may take on a more ominous appearance with branching, rodlike, or angular morphologies. As fi brosis progresses, the appearance of fat necrosis changes into that of an irregular, asymmetric, or spiculated mammographic density (2).…”

Section: Discussionmentioning

confidence: 99%