Fat necrosis breast

Case contributed by Dr Garth Kruger

Presentation

Previous left breast surgery for breast cancer. Palpable mass lesion on clinical exam.

Patient Data

Gender: Female

The serpiginous peripheral calcification around the lucent necrotic fat is typical of breast fat necrosis.

Case Discussion

The potential for confusion with malignant breast calcification arises when there is a small focus of fat necrosis with a small portion calcified. The key to picking this up is the history of a surgical intervention or breast trauma with a high index of suspicion. 

This is a typical appearance on mammography.

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