Fat necrosis of the breast Flashcards

1
Q

What causes fat necrosis of the breast?

A

Blunt trauma e.g. seatbelt injury/ trivial trauma
Many can’t recall the trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In which patients does fat necrosis more commonly occur?

A

Older, overweight women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe of appearance fat necrosis

A

Ill-defined, firm, non-tender breast mass
Skin retraction, erythema +/or bruises
Often periareolar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What may fat necrosis mimic?

A

Breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe progression in appearance of fat necrosis

A

Firm, round lump –> hard, irregular lump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe investigations for fat necrosis

A

Triple assessment (as can mimic breast ca)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe management of fat necrosis

A

Self-resolving
Surgical excision if malignancy can not be r/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly