Fat Necrosis without trauma or injury

moo-moo23

Hi al! I am back here because it’s time for my 6 month follow up ultrasound. I am concerned because even though the biopsy showed fat necrosis, I do have very dense breasts and the lump has not gone away or gotten smaller. I feel it has grown. I also have no history of trauma or injury to the breast. I will ask all these questions at my appt. But I wanted to see if anyone else has any experiences with fat necrosis without injury.

cityrat

Hi there, did you ever find out what the cause of this was? I have a similar issue happening right now (dense breasts also but I think that's like everyone), this was the biopsy report after finding a big lump and having mammo and US, and biopsy:

"Fat necrosis with many Gram-positive cocci in clusters, extensive granulomatous acute and chronic inflammation with abscess formation, histiocytic reaction and stromal fibrosis. Adjacent scanty unremarkable breast parenchyma. No atypia or carcinoma identified.

Note: Seciton shows extensive acute and chronic granulomatous inflammation with scanty breast parenchyma seen in the background. Pancytokeratin is negative for carcinoma. GMS and Gram stains highlight many clusters of cocci. Acid-Fast Bacilli (AFB) stain are negative for organism. Please refer to right breast wound culture results for details of the bacteria. Overall, the etiology of the changes is unclear, with differential diagnosis including granulmatous lobular mastitis, infectious disease and reactive changes to yet identified process, among others. Clinical and the radiology correlation is recommended. Case also reviewed by another beast pathologist. "

No idea and nervous. I've been given antibiotics and told to come back for another ultrasound in 2 weeks and a follow up visit. I'm small breasted so she doesnt want to make a "dent" from excision if it goes away on its own. I've been on the antibiotics for 2 days now and it hasnt really gone much smaller. I have no memorable injury, am not breastfeeding. I'm 51 and at peri/menopause and taking low dose b/c pills for that. Any clues?