Majithia Jinita, Haria Purvi, Popat Palak, Katdare Aparna, Chouhan Sonal, Gala Kunal Bharat, Kulkarni Suyash, Thakur Meenakshi
Radiology Department, Tata Memorial Hospital, Mumbai, India.
Front Oncol. 2023 Feb 16;12:926396. doi: 10.3389/fonc.2022.926396. eCollection 2022.
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.
乳腺脂肪坏死是脂肪组织的一种良性非化脓性炎症，常酷似乳腺癌，给临床医生和放射科医生带来诊断挑战。在不同的成像技术上，它有各种各样的表现，从典型的油囊肿和良性营养不良性钙化到不确定的局灶性不对称、结构扭曲和肿块。不同检查方式的联合应用有助于放射科医生得出合理结论，避免不必要的干预。这篇综述文章的目的是提供关于乳腺脂肪坏死各种成像表现的全面文献。尽管它是一种纯粹的良性病变，但乳腺钼靶、对比增强乳腺钼靶、超声和磁共振成像上的表现可能会极具误导性，尤其是在接受过治疗的乳腺中。目的是对脂肪坏死进行全面且涵盖所有方面的综述，并提出一种算法，以便采用系统的方法进行诊断。
