Case 10
67 year old female with history of inner right breast cancer, s/p lumpectomy. She has had a lump near the scar since surgery.
Question 1:
What could a lump near a lumpectomy scar represent?
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Answer:
The most concerning thing would be recurrence of the original tumor, but many other benign findings can present in this way, including post-operative seromas or areas of fat necrosis.
The most concerning thing would be recurrence of the original tumor, but many other benign findings can present in this way, including post-operative seromas or areas of fat necrosis.
Case 10
At the time of fine needle aspiration, yellowish clear fluid was obtained.
Question 2:
What is the most likely diagnosis for this case?
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Answer:
The presence of floating mobile echogenic material is most consistent with liquid fat. After trauma to breast tissue (such as surgery), some of the fat lobules may degenerate, termed "fat necrosis". This is a benign finding and was not recurrence of breast cancer.
The presence of floating mobile echogenic material is most consistent with liquid fat. After trauma to breast tissue (such as surgery), some of the fat lobules may degenerate, termed "fat necrosis". This is a benign finding and was not recurrence of breast cancer.
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