{"id":3248,"date":"2025-12-26T07:05:47","date_gmt":"2025-12-26T07:05:47","guid":{"rendered":"https:\/\/ebruayvazoglu.com\/?p=3248"},"modified":"2026-10-01T07:09:29","modified_gmt":"2026-10-01T07:09:29","slug":"breast-fat-necrosis","status":"publish","type":"post","link":"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/","title":{"rendered":"Breast Fat Necrosis"},"content":{"rendered":"<p>Fat necrosis of the breast is a benign tissue hardening unrelated to cancer that occurs when fat cells in the breast tissue are damaged due to traumatic causes such as impact, surgical intervention, or radiotherapy. This process, triggered by the leakage of fat content from the damaged area into the surrounding tissue, takes the form of a firm, sometimes painful mass or cyst together with the body\u2019s effort to repair and contain that area. Although it is known for its ability to mimic breast cancer findings on clinical examination and radiological images, this condition does not have a premalignant structure and does not pose a life-threatening health risk when correctly diagnosed.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#What_Is_Fat_Necrosis_of_the_Breast_and_Why_Does_It_Occur_in_Breast_Tissue\" >What Is Fat Necrosis of the Breast and Why Does It Occur in Breast Tissue?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#What_Are_the_Trauma-Related_and_Other_Causes_That_Trigger_This_Condition\" >What Are the Trauma-Related and Other Causes That Trigger This Condition?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#Which_Risk_Factors_Facilitate_the_Development_of_Fat_Necrosis\" >Which Risk Factors Facilitate the Development of Fat Necrosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#With_Which_Symptoms_Do_Patients_Consult_a_Doctor_and_Why_Do_They_Worry\" >With Which Symptoms Do Patients Consult a Doctor and Why Do They Worry?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#What_Do_We_See_on_Mammography_and_Ultrasound_When_Making_a_Diagnosis\" >What Do We See on Mammography and Ultrasound When Making a Diagnosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#How_Does_BI-RADS_Scoring_Affect_Our_Treatment_Decision\" >How Does BI-RADS Scoring Affect Our Treatment Decision?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#Why_and_How_Is_a_Biopsy_Performed\" >Why and How Is a Biopsy Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#Does_Fat_Necrosis_Carry_a_Risk_of_Turning_Into_Cancer\" >Does Fat Necrosis Carry a Risk of Turning Into Cancer?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#What_Are_the_Treatment_Options_and_When_Do_We_Recommend_Surgery\" >What Are the Treatment Options and When Do We Recommend Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ebruayvazoglu.com\/en\/breast-fat-necrosis\/#What_Should_Be_Considered_During_the_Recovery_Process_and_Follow-Up\" >What Should Be Considered During the Recovery Process and Follow-Up?<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Fat_Necrosis_of_the_Breast_and_Why_Does_It_Occur_in_Breast_Tissue\"><\/span>What Is Fat Necrosis of the Breast and Why Does It Occur in Breast Tissue?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Understanding the structure of the breast is the first step in understanding this condition. The breast is not an organ consisting only of milk glands and ducts. There is a very dense layer of fatty tissue that surrounds and supports these structures and gives the breast its soft form. Especially in women approaching menopause or who are in menopause, the milk glands regress and the breast tissue transforms into a structure composed largely of fat. Fat necrosis occurs as a result of an accident affecting these fat cells.<\/p>\n<p>Normally, living fat cells with intact structure quietly continue their functions. However, when there is an impact, an incision, or an interruption in blood circulation, these delicate fat cells are damaged and die. When the cell dies, its membrane structure breaks down and the fat droplets inside it (triglycerides) leak outside the cell, that is, into the spaces between the tissues. Our body\u2019s immune system is an extremely meticulous cleaner. When it notices this free-floating fat in the tissue, it immediately sends a cleaning team to the area. This is a germ-free, sterile inflammatory process.<\/p>\n<p>The body tries to clear the leaked fat and contain the area. During this process, the released fatty acids combine with calcium in the tissue. In chemistry, this process is called &#8220;saponification&#8221;; yes, a chemical reaction similar to soap making takes place within the tissue. As a result, the area hardens, calcifies, and becomes surrounded by a thick wall. That hard marble-like lump or irregular mass you feel is actually the result of your body\u2019s effort to repair and contain the damage. Sometimes a fluid-filled oil cyst forms, while at other times a firm scar tissue remains.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Trauma-Related_and_Other_Causes_That_Trigger_This_Condition\"><\/span>What Are the Trauma-Related and Other Causes That Trigger This Condition?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When speaking with our patients, the issue we focus on most is events that occurred in the past. This is because fat necrosis does not usually appear spontaneously without a cause. There is generally a physical effect behind the story. The most common cause we see is direct trauma to the breast. Trauma such as a seat belt compressing the chest during a traffic accident, striking a household object forcefully, or falling may crush the fatty tissue and initiate this process. However, what is interesting is that a large proportion of patients do not even remember such an impact. This is because sometimes small, repetitive traumas that you do not notice can also lead to it.<\/p>\n<p>Another important cause for us surgeons is surgical intervention. There is always a possibility of seeing fat necrosis after breast surgeries performed for aesthetic concerns or health problems. For example, reducing very large breasts, lifting sagging breasts, or reconstructive surgeries performed after breast cancer require significant manipulation of the tissue. During the repositioning, cutting, or suturing of tissues, the blood circulation of some fat islands may be temporarily disrupted. Fat tissue that cannot receive blood becomes deprived of oxygen and undergoes necrosis.<\/p>\n<p>In addition, radiotherapy, which is part of breast cancer treatment, is also an important factor. While radiation destroys cancer cells, it may sometimes affect the capillaries in the neighboring fatty tissue. This damage does not appear immediately; it may present as hardening months or even a year later.<\/p>\n<p>The main factors that may trigger this condition are as follows:<\/p>\n<ul>\n<li>Seat belt injuries<\/li>\n<li>Breast reduction surgeries<\/li>\n<li>Breast lift operations<\/li>\n<li>Breast augmentation surgery<\/li>\n<li>Breast-conserving cancer surgery<\/li>\n<li>Radiotherapy applications<\/li>\n<li>Biopsy procedures<\/li>\n<li>Tissue flap transfers<\/li>\n<li>Use of anticoagulant medications<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Which_Risk_Factors_Facilitate_the_Development_of_Fat_Necrosis\"><\/span>Which Risk Factors Facilitate the Development of Fat Necrosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There is no rule that every woman will develop fat necrosis after trauma. Certain body types and physical characteristics are more prone to this condition. According to our outpatient clinic experience, the risk is higher in women with voluminous breast tissue and a high fat ratio. In women with a large breast structure, which we call &#8220;macromastia,&#8221; the nourishment of the fatty tissue depends on more delicate balances, and the surface area exposed to trauma is wider.<\/p>\n<p>Age is also an important parameter. Especially in women in the transition to menopause (the perimenopausal period), we encounter fat necrosis more frequently because the composition of the breast tissue changes. In this age group, approximately three percent of breast hardenings are caused by this condition.<\/p>\n<p>However, the most important modifiable risk factor for us is smoking. Smoking is the greatest enemy that disrupts blood circulation in the most distal vessels of the body. If a patient smokes, the oxygenation of their tissues decreases. When such tissue is exposed to trauma or surgery, its ability to recover is very low, and fat cells die much more quickly. Similarly, uncontrolled diabetes and excess weight are among the factors that increase the risk by impairing tissue healing.<\/p>\n<p>The groups and conditions that pose a risk are as follows:<\/p>\n<ul>\n<li>Large breast structure<\/li>\n<li>Obesity<\/li>\n<li>Smoking<\/li>\n<li>Diabetes<\/li>\n<li>Advanced age<\/li>\n<li>Menopause<\/li>\n<li>Use of blood thinners<\/li>\n<li>Previous breast infections<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"With_Which_Symptoms_Do_Patients_Consult_a_Doctor_and_Why_Do_They_Worry\"><\/span>With Which Symptoms Do Patients Consult a Doctor and Why Do They Worry?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The reason fat necrosis has earned the nickname &#8220;the great mimicker&#8221; is that its symptoms are frighteningly similar to those of breast cancer. Our patients generally arrive in great panic because the lump they feel is hard, irregular, and seems immobile. Since cancerous masses are also generally painless and firm, unfortunately the first possibility that comes to the patient\u2019s mind is the worst one.<\/p>\n<p>During clinical examination, we may also encounter similar findings. The mass is usually close to the surface. In the early period, that is, immediately after the trauma, there may be bruising or tenderness in the area. However, over time these acute symptoms pass, and that persistent hardness remains. Sometimes this hardness is so dense that it can even mislead the examining hand.<\/p>\n<p>An even more confusing situation is the changes it causes in the skin. The healing tissue (fibrosis) that forms in the area of necrosis pulls the surrounding tissues toward itself, just like a scar contracts. If this pulling is close to the skin, we see dimpling or indentation (retraction) in the breast skin. If it is close to the nipple, it may pull the nipple inward. Normally, these findings may indicate advanced-stage cancers. However, in fat necrosis, they are entirely the result of a benign process. Nevertheless, examination alone is not sufficient to make this distinction.<\/p>\n<p>The common symptoms experienced by patients are as follows:<\/p>\n<ul>\n<li>Firm mass<\/li>\n<li>Skin retraction<\/li>\n<li>Nipple inversion<\/li>\n<li>Localized redness<\/li>\n<li>Skin bruising<\/li>\n<li>Increased warmth<\/li>\n<li>Mild pain<\/li>\n<li>Breast asymmetry<\/li>\n<li>Irregular borders<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"What_Do_We_See_on_Mammography_and_Ultrasound_When_Making_a_Diagnosis\"><\/span>What Do We See on Mammography and Ultrasound When Making a Diagnosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When a patient consults us, after listening to their history and performing the examination, the first thing we do is request radiological imaging. In patients over the age of 35-40, we generally evaluate mammography and ultrasound together. Radiology gives us very important clues in solving this puzzle, but sometimes it can make things even more complicated.<\/p>\n<p>If we identify the classic image that we call an &#8220;oil cyst&#8221; on mammography, we all breathe a sigh of relief. On this X-ray image, it appears as an eggshell-like structure with a black center (fat) surrounded by a thin white line (calcification). This image is almost as specific to fat necrosis as a fingerprint and makes us say, &#8220;This is definitely benign.&#8221;<\/p>\n<p>However, we may not always be so fortunate. Sometimes the area of necrosis shows such dense calcification and contraction that it creates a &#8220;stellate&#8221; or &#8220;spiculated&#8221; shape on mammography. This image, which we call a &#8220;spiculated mass&#8221; in medical terminology, is unfortunately also one of the most typical appearances of breast cancer. When the radiologist looks at this image, they may have difficulty distinguishing whether it is cancer or the scar of an old trauma.<\/p>\n<p>Ultrasonography gives us information about the internal structure of the mass. Is it filled with fluid, solid, or mixed? On ultrasound, fat necrosis sometimes appears as complex cysts and sometimes as dark areas that cast a shadow behind them. If the patient has a previous history of breast cancer and we suspect recurrence, Magnetic Resonance Imaging (MRI) then comes into play. MRI guides us by showing the vascularization pattern.<\/p>\n<p>The findings we encounter on radiological examination are as follows:<\/p>\n<ul>\n<li>Oil cysts<\/li>\n<li>Eggshell calcification<\/li>\n<li>Microcalcifications<\/li>\n<li>Spiculated masses<\/li>\n<li>Hypoechoic areas<\/li>\n<li>Complex cysts<\/li>\n<li>Acoustic shadowing<\/li>\n<li>Irregular borders<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_BI-RADS_Scoring_Affect_Our_Treatment_Decision\"><\/span>How Does BI-RADS Scoring Affect Our Treatment Decision?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When you receive your radiology report, you will see a section labeled &#8220;BI-RADS&#8221; at the bottom of the result and a number next to it. This is a risk classification system that enables doctors all over the world to speak the same language. This score determines our course in the management of fat necrosis.<\/p>\n<p>If the radiologist is certain based on the image and says, &#8220;This is typical fat necrosis,&#8221; the report is classified as BI-RADS 2 (Benign). In this case, we tell you, &#8220;There is nothing to be afraid of; this is only the scar of an old trauma, and we will continue our routine follow-ups.&#8221; Sometimes the image is very mildly suspicious but is most likely benign; in that case, BI-RADS 3 is assigned and we say, &#8220;Let us look again in 6 months to see whether there is any growth.&#8221;<\/p>\n<p>The real issue begins with the BI-RADS 4 and 5 categories. The radiologist assigns these scores if the possibility of cancer cannot be ruled out because of irregularities, calcifications, or the structure of the mass seen on imaging. This means, &#8220;The image looks concerning and may be mimicking cancer, but we need to be sure.&#8221; As a surgeon, even if there is a history of trauma, if the radiology report includes the term &#8220;suspicious&#8221; (BI-RADS 4), we do not have the luxury of dismissing it by saying, &#8220;This is definitely fat necrosis.&#8221; We must be one hundred percent certain that it is not cancer.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_and_How_Is_a_Biopsy_Performed\"><\/span>Why and How Is a Biopsy Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When we tell a woman, &#8220;We need to perform a biopsy,&#8221; we can clearly see the concern and fear on her face. The question, &#8220;Could I have cancer?&#8221; takes over the mind at that moment. However, it must be stated very clearly that requesting a biopsy does not mean that you have cancer. A biopsy is the most scientific and definitive way to eliminate uncertainty and to be able to say, &#8220;No, you do not have cancer.&#8221;<\/p>\n<p>In cases of suspected fat necrosis, we generally do not prefer fine-needle aspiration biopsy (FNAB). This is because a fine needle provides us only with cellular debris and does not show the overall architecture of the tissue. Since fat necrosis is a complex structure, a fine needle may mislead us or may be insufficient.<\/p>\n<p>For this reason, we consider the thick-needle biopsy called &#8220;Tru-cut&#8221; or &#8220;Core Biopsy&#8221; the gold standard. There is no need to be afraid of the procedure. We perform it under outpatient clinic conditions using local anesthesia to completely numb the area. In other words, you remain conscious, but you do not feel pain. Under ultrasound guidance, we take millimetric tissue samples from inside the mass using a special automatic gun system. The procedure takes only a few minutes. No stitches are placed, and no large scar remains.<\/p>\n<p>These samples are sent to pathology. The pathologist examines them under a microscope. If we see terms such as &#8220;necrotic adipose tissue,&#8221; &#8220;foamy macrophages,&#8221; and &#8220;giant cells&#8221; in the report, that is when we breathe a sigh of relief. The diagnosis is confirmed: Fat Necrosis. There is no longer any room for doubt.<\/p>\n<p>The methods used for biopsy are as follows:<\/p>\n<ul>\n<li>Tru-cut biopsy<\/li>\n<li>Core biopsy<\/li>\n<li>Vacuum-assisted biopsy<\/li>\n<li>Wire-guided excision<\/li>\n<li>Ultrasound-guided sampling<\/li>\n<li>Stereotactic biopsy<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Does_Fat_Necrosis_Carry_a_Risk_of_Turning_Into_Cancer\"><\/span>Does Fat Necrosis Carry a Risk of Turning Into Cancer?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>After the diagnosis is made, the question our patients ask most frequently and most want answered is: &#8220;Doctor, all right, it came back clear now, but can this hardening turn into cancer in the future?&#8221;<\/p>\n<p>You can put your mind at ease about this. Our answer is very clear: No. Fat necrosis is not a &#8220;premalignant&#8221; lesion, meaning it is not a precursor to cancer. This tissue is not genetically altered, uncontrollably proliferating tumor tissue. It consists only of dead fat cells and the body\u2019s repair tissue. Just as a scar does not turn into cancer, fat necrosis does not turn into cancer either.<\/p>\n<p>Over the years, this mass may remain where it is, become calcified and even harder, or be absorbed by the body and shrink. However, changing character and developing into a malignant disease is not a medically expected situation. Nevertheless, a small clarification is necessary here: The presence of fat necrosis in one breast does not guarantee that cancer will not develop elsewhere in that breast in the future. Therefore, even if you have fat necrosis, you should not neglect your routine breast examinations and annual mammograms, just like every woman.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Treatment_Options_and_When_Do_We_Recommend_Surgery\"><\/span>What Are the Treatment Options and When Do We Recommend Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Your biopsy result has arrived and the diagnosis of &#8220;Fat Necrosis&#8221; has been confirmed. So what will we do now? In fact, most of the time the answer is: &#8220;Nothing.&#8221; Yes, if we are certain of the diagnosis and the mass does not bother you, the best treatment approach is observation. We allow time for the body\u2019s own healing mechanism. The body may clear small areas of necrosis on its own over time.<\/p>\n<p>However, there are also some specific situations in which we recommend surgical intervention, meaning surgery. As surgeons, we never want you to undergo surgery unnecessarily. However, in the following situations, it may be more appropriate to remove that mass:<\/p>\n<p>The first and most important is &#8220;suspicion.&#8221; If the radiological images look very concerning and we still have doubt even though the biopsy is benign (we call this discordance), we may want to remove the area and examine it in its entirety in order not to take any risks.<\/p>\n<p>The second is the patient\u2019s comfort. If the mass is very large, causes constant pain, or interferes with the bra strap or arm movement, we operate to relieve our patient of this problem.<\/p>\n<p>The third is aesthetic concern. If the area of necrosis has pulled the skin inward too much and created a visible indentation, deformity, or asymmetry in the breast, we may plan surgery to correct it. Although rare, these necrotic areas may become infected, form an abscess, or open onto the skin; in such cases, surgical cleaning is essential.<\/p>\n<p>The situations requiring surgical intervention are as follows:<\/p>\n<ul>\n<li>Suspicious radiological finding<\/li>\n<li>Persistent pain<\/li>\n<li>Growing mass<\/li>\n<li>Skin deformity<\/li>\n<li>Breast asymmetry<\/li>\n<li>Development of infection<\/li>\n<li>Patient anxiety<\/li>\n<li>Diagnostic discordance<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"What_Should_Be_Considered_During_the_Recovery_Process_and_Follow-Up\"><\/span>What Should Be Considered During the Recovery Process and Follow-Up?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If we decide on surgery, this is generally a relatively comfortable procedure requiring same-day discharge or a one-night hospital stay. We remove only the problematic area and do not interfere with the entire breast. The recovery process is rapid. However, the issue we pay the most attention to during surgery is working gently. This is because a rough surgical intervention may create new trauma and pave the way for fat necrosis to develop again.<\/p>\n<p>Whether you receive treatment or not, there is an important detail you should know for the rest of your life. Fat necrosis may leave a mark as it heals. These marks will continue to appear on the mammograms you have from now on in the form of calcifications or scar tissue.<\/p>\n<p>Therefore, when you visit another doctor or radiologist in the future, you must explain your medical history. Saying, &#8220;I had fat necrosis in my right breast and a biopsy was performed,&#8221; or showing your previous reports will prevent your doctor from raising a false alarm. Especially in patients who have had breast cancer, distinguishing whether a change seen on follow-up mammograms represents recurrence or treatment-related necrosis is of vital importance. Generally, the mammogram performed in the first 6 months or 1 year after treatment is our &#8220;baseline,&#8221; meaning the primary reference image. We compare changes that occur in subsequent years with this initial image.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fat necrosis of the breast is a benign tissue hardening unrelated to cancer that occurs when fat cells in the breast tissue are damaged due to traumatic causes such as impact, surgical intervention, or radiotherapy. This process, triggered by the leakage of fat content from the damaged area into the surrounding tissue, takes the form [&#8230;]\n","protected":false},"author":1,"featured_media":3193,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41],"tags":[],"class_list":["post-3248","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-breast-cancer"],"_links":{"self":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts\/3248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/comments?post=3248"}],"version-history":[{"count":1,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts\/3248\/revisions"}],"predecessor-version":[{"id":3261,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/posts\/3248\/revisions\/3261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media\/3193"}],"wp:attachment":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media?parent=3248"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/categories?post=3248"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/tags?post=3248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}