Bouroumane Mohamed Reda, Khalil Reda, Khalil Hind, Jalal Hicham
Department of Radiology, University Hospital Mohammed VI of Marrakesh, Morocco.
Pan Afr Med J. 2016 Dec 13;25:235. doi: 10.11604/pamj.2016.25.235.10935. eCollection 2016.
Fat necrosis of the breast is a benign non-suppurative inflammatory process of adipose tissue that most commonly occurs as the result of minor breast trauma. We present a case of a 40-years-old female with fat necrosis in a breast lipoma. She presented with an overlapping mass on the lateral quadrants. Mammography showed Well delineated radiolucent mass with peripheral "egg-shell" calcifications, that appeared an hypoechoic mass with posterior shadowing on ultrasonography. A history of accidental trauma raises the suspicion of fat necrosis. Pathology is necessary when radiological findings simulate malignancy.
乳腺脂肪坏死是一种脂肪组织的良性非化脓性炎症过程,最常见于轻微乳腺创伤后。我们报告一例40岁女性乳腺脂肪瘤合并脂肪坏死的病例。她的乳腺外下象限出现一个重叠性肿块。乳腺钼靶显示边界清晰的透亮肿块,伴有周边“蛋壳样”钙化,超声检查显示为低回声肿块伴后方声影。意外创伤史增加了脂肪坏死的怀疑。当影像学表现类似恶性肿瘤时,病理检查是必要的。