Fat necrosis: A consultant’s conundrum

Fat necrosis of the breast is a benign non-suppurative inflammation of the adipose tissue and often mimics breast cancers, posing a diagnostic challenge for the clinician and radiologist. It has a myriad of appearances on different imaging techniques, ranging from the pathognomic oil cyst and benign...

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Main Authors: Jinita Majithia, Purvi Haria, Palak Popat, Aparna Katdare, Sonal Chouhan, Kunal Bharat Gala, Suyash Kulkarni, Meenakshi Thakur
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.926396/full
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author Jinita Majithia
Purvi Haria
Palak Popat
Aparna Katdare
Sonal Chouhan
Kunal Bharat Gala
Suyash Kulkarni
Meenakshi Thakur
author_facet Jinita Majithia
Purvi Haria
Palak Popat
Aparna Katdare
Sonal Chouhan
Kunal Bharat Gala
Suyash Kulkarni
Meenakshi Thakur
author_sort Jinita Majithia
collection DOAJ
description Fat necrosis of the breast is a benign non-suppurative inflammation of the adipose tissue and often mimics breast cancers, posing a diagnostic challenge for the clinician and radiologist. It has a myriad of appearances on different imaging techniques, ranging from the pathognomic oil cyst and benign dystrophic calcifications to indeterminate focal asymmetries, architectural distortions, and masses. A combination of different modalities can assist a radiologist in reaching a logical conclusion to avoid unnecessary interventions. The aim of this review article was to provide a comprehensive literature on the various imaging appearances of fat necrosis in the breast. Although a purely benign entity, the imaging appearances on mammography, contrast-enhanced mammography, ultrasound, and magnetic resonance imaging can be quite misleading, especially in post-therapy breasts. The purpose is to provide a comprehensive and all-inclusive review on fat necrosis with a proposed algorithm allowing a systematic approach to diagnosis.
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spelling doaj.art-54bbe52d854840cdbee84456d66a7caf2023-02-16T12:39:05ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-02-011210.3389/fonc.2022.926396926396Fat necrosis: A consultant’s conundrumJinita MajithiaPurvi HariaPalak PopatAparna KatdareSonal ChouhanKunal Bharat GalaSuyash KulkarniMeenakshi ThakurFat necrosis of the breast is a benign non-suppurative inflammation of the adipose tissue and often mimics breast cancers, posing a diagnostic challenge for the clinician and radiologist. It has a myriad of appearances on different imaging techniques, ranging from the pathognomic oil cyst and benign dystrophic calcifications to indeterminate focal asymmetries, architectural distortions, and masses. A combination of different modalities can assist a radiologist in reaching a logical conclusion to avoid unnecessary interventions. The aim of this review article was to provide a comprehensive literature on the various imaging appearances of fat necrosis in the breast. Although a purely benign entity, the imaging appearances on mammography, contrast-enhanced mammography, ultrasound, and magnetic resonance imaging can be quite misleading, especially in post-therapy breasts. The purpose is to provide a comprehensive and all-inclusive review on fat necrosis with a proposed algorithm allowing a systematic approach to diagnosis.https://www.frontiersin.org/articles/10.3389/fonc.2022.926396/fullfat necrosisbreast imagingradiologymammographyultrasonography
spellingShingle Jinita Majithia
Purvi Haria
Palak Popat
Aparna Katdare
Sonal Chouhan
Kunal Bharat Gala
Suyash Kulkarni
Meenakshi Thakur
Fat necrosis: A consultant’s conundrum
Frontiers in Oncology
fat necrosis
breast imaging
radiology
mammography
ultrasonography
title Fat necrosis: A consultant’s conundrum
title_full Fat necrosis: A consultant’s conundrum
title_fullStr Fat necrosis: A consultant’s conundrum
title_full_unstemmed Fat necrosis: A consultant’s conundrum
title_short Fat necrosis: A consultant’s conundrum
title_sort fat necrosis a consultant s conundrum
topic fat necrosis
breast imaging
radiology
mammography
ultrasonography
url https://www.frontiersin.org/articles/10.3389/fonc.2022.926396/full
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AT sonalchouhan fatnecrosisaconsultantsconundrum
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