Fat Necrosis of the Breast: Ultrasound Images
Aim of the study was to evaluate breast fat necrosis ultrasound signs. 48 breasts in 44 patients with fat necrosis (age from 22 up to 60 years old) during period from 2000 up to 2015 were investigated. Received ultrasound data was analyzed. 15 patients (15 breasts) with fat necrosis of breast subcutaneous fat formed the 1 st group, 7 patients (8 breasts) with fat necrosis after reduction mammaplasty in 0.5-1.5 years - the 2 nd group, 22 patients (25 breasts) after fat tissue autotransplantation - the 3 rd group. There were 5 ultrasound types of fat necrosis. Typical areas of fat necrosis in subcutaneous fat looking as inclusion cysts with a hyperechoic capsule did not require a biopsy. Fat necrosis areas in glandular layer could simulate breast lesions. Morphological examination was required in case of any suspicious lesions. Pain and local vascular enhancement in area of breast tissue heterogeneity (which could be result of trauma or surgical treatment) was an indication that fat necrosis could be one of possible breast diseases.