Post surgical scar left breast

Case contributed by Dr Garth Kruger

Presentation

This patient had a segmental resection upper outer quadrant left breast.

Mammography

The arrows show a parenchymal distortion realted to post surgical change upper outer quadrant left breast.

Mammography

Two years alter the distortion is much more pronounced with expanded parenchymal distortion.

Ultrasound

This is the appearance of the area 2.5 years after surgery.

Case Discussion

Post surgical changes in the breast can initially change with time although rarely this pronounced. N.b. this process does not carry on indefinitely. If this scar was to change again, say,  after three years, it would be a red flag and full workup would be done.

I suspect the initial change in the scar has to do with fat necrosis relative to the surgery. 

As with most breast pathology, change with time helps you arrive at a diagnosis. Never miss the opportunity to look at previous studies or look at your tech sheet. The answer is often there.

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Case information

rID: 21410
Case created: 20th Jan 2013
Last edited: 16th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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