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Benign Surgical Biopsy, Postoperative Imaging
Ethan O. Cohen, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Imaging findings after surgical excision with benign histopathology

          IMAGING

          • General Features

            • Mammographic Findings

              • Ultrasonographic Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            • Image Interpretation Pearls

                              Selected References

                              1. Tayyab SJ et al: A pictorial review: multimodality imaging of benign and suspicious features of fat necrosis in the breast. Br J Radiol. 20180213, 2018
                              2. Kerridge WD et al: Fat necrosis of the breast: a pictorial review of the mammographic, ultrasound, CT, and MRI findings with histopathologic correlation. Radiol Res Pract. 2015:613139, 2015
                              3. Margolis NE et al: Update on imaging of the postsurgical breast. Radiographics. 34(3):642-60, 2014
                              4. Neal CH et al: Imaging of breast cancer-related changes after surgical therapy. AJR Am J Roentgenol. 202(2):262-72, 2014
                              5. Chansakul T et al: The postconservation breast: part 1, expected imaging findings. AJR Am J Roentgenol. 198(2):321-30, 2012
                              6. Chansakul T et al: The postconservation breast: part 2, imaging findings of tumor recurrence and other long-term sequelae. AJR Am J Roentgenol. 198(2):331-43, 2012
                              7. van Breest Smallenburg V et al: Mammographic changes resulting from benign breast surgery impair breast cancer detection at screening mammography. Eur J Cancer. 48(14):2097-103, 2012
                              8. Shaheen R et al: Spectrum of diseases presenting as architectural distortion on mammography: multimodality radiologic imaging with pathologic correlation. Semin Ultrasound CT MR. 32(4):351-62, 2011
                              9. Taboada JL et al: The many faces of fat necrosis in the breast. AJR Am J Roentgenol. 192(3):815-25, 2009
                              10. Daly CP et al: Variable appearances of fat necrosis on breast MRI. AJR Am J Roentgenol. 191(5):1374-80, 2008
                              11. Chala LF et al: Fat necrosis of the breast: mammographic, sonographic, computed tomography, and magnetic resonance imaging findings. Curr Probl Diagn Radiol. 33(3):106-26, 2004
                              12. Bilgen IG et al: Fat necrosis of the breast: clinical, mammographic and sonographic features. Eur J Radiol. 39(2):92-9, 2001
                              13. Sperber F et al: Mammographic evolution of fat necrosis of the breast. Breast J. 7(5):365-7, 2001
                              14. Slanetz PJ et al: Previous breast biopsy for benign disease rarely complicates or alters interpretation on screening mammography. AJR Am J Roentgenol. 170(6):1539-41, 1998
                              15. Viehweg P et al: Retrospective analysis for evaluation of the value of contrast-enhanced MRI in patients treated with breast conservative therapy. MAGMA. 7(3):141-52, 1998
                              16. Jackman RJ et al: Needle-localized breast biopsy: why do we fail? Radiology. 204(3):677-84, 1997
                              17. Berg WA et al: Lessons from mammographic-histopathologic correlation of large-core needle breast biopsy. Radiographics. 16(5):1111-30, 1996
                              18. Brenner RJ et al: Mammographic changes after excisional breast biopsy for benign disease. AJR Am J Roentgenol. 167(4):1047-52, 1996
                              19. DiPiro PJ et al: Seat belt injuries of the breast: findings on mammography and sonography. AJR Am J Roentgenol. 164(2):317-20, 1995
                              20. Hogge JP et al: The mammographic spectrum of fat necrosis of the breast. Radiographics. 15(6):1347-56, 1995
                              21. Whitehouse GH et al: MR imaging of the breast after surgery for breast cancer. Magn Reson Imaging Clin N Am. 2(4):591-603, 1994
                              22. Mendelson EB: Evaluation of the postoperative breast. Radiol Clin North Am. 30(1):107-38, 1992
                              23. Mendelson EB: Imaging the post-surgical breast. Semin Ultrasound CT MR. 10(2):154-70, 1989
                              24. Leucht WJ et al: Sonographic findings following conservative surgery and irradiation for breast carcinoma. Ultrasound Med Biol. 14 Suppl 1:27-41, 1988
                              25. Mitnick J et al: Differentiation of postsurgical changes from carcinoma of the breast. Surg Gynecol Obstet. 166(6):549-50, 1988
                              26. Sickles EA et al: Mammography of the postsurgical breast. AJR Am J Roentgenol. 136(3):585-8, 1981
                              27. Bassett LW et al: Mammographic spectrum of traumatic fat necrosis: the fallibility of "pathognomonic" signs of carcinoma. AJR Am J Roentgenol. 130(1):119-22, 1978
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Diagnostic Checklist

                                      TERMINOLOGY

                                      • Definitions

                                        • Imaging findings after surgical excision with benign histopathology

                                      IMAGING

                                      • General Features

                                        • Mammographic Findings

                                          • Ultrasonographic Findings

                                            • MR Findings

                                              • Nuclear Medicine Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      DIAGNOSTIC CHECKLIST

                                                      • Consider

                                                        • Image Interpretation Pearls

                                                          Selected References

                                                          1. Tayyab SJ et al: A pictorial review: multimodality imaging of benign and suspicious features of fat necrosis in the breast. Br J Radiol. 20180213, 2018
                                                          2. Kerridge WD et al: Fat necrosis of the breast: a pictorial review of the mammographic, ultrasound, CT, and MRI findings with histopathologic correlation. Radiol Res Pract. 2015:613139, 2015
                                                          3. Margolis NE et al: Update on imaging of the postsurgical breast. Radiographics. 34(3):642-60, 2014
                                                          4. Neal CH et al: Imaging of breast cancer-related changes after surgical therapy. AJR Am J Roentgenol. 202(2):262-72, 2014
                                                          5. Chansakul T et al: The postconservation breast: part 1, expected imaging findings. AJR Am J Roentgenol. 198(2):321-30, 2012
                                                          6. Chansakul T et al: The postconservation breast: part 2, imaging findings of tumor recurrence and other long-term sequelae. AJR Am J Roentgenol. 198(2):331-43, 2012
                                                          7. van Breest Smallenburg V et al: Mammographic changes resulting from benign breast surgery impair breast cancer detection at screening mammography. Eur J Cancer. 48(14):2097-103, 2012
                                                          8. Shaheen R et al: Spectrum of diseases presenting as architectural distortion on mammography: multimodality radiologic imaging with pathologic correlation. Semin Ultrasound CT MR. 32(4):351-62, 2011
                                                          9. Taboada JL et al: The many faces of fat necrosis in the breast. AJR Am J Roentgenol. 192(3):815-25, 2009
                                                          10. Daly CP et al: Variable appearances of fat necrosis on breast MRI. AJR Am J Roentgenol. 191(5):1374-80, 2008
                                                          11. Chala LF et al: Fat necrosis of the breast: mammographic, sonographic, computed tomography, and magnetic resonance imaging findings. Curr Probl Diagn Radiol. 33(3):106-26, 2004
                                                          12. Bilgen IG et al: Fat necrosis of the breast: clinical, mammographic and sonographic features. Eur J Radiol. 39(2):92-9, 2001
                                                          13. Sperber F et al: Mammographic evolution of fat necrosis of the breast. Breast J. 7(5):365-7, 2001
                                                          14. Slanetz PJ et al: Previous breast biopsy for benign disease rarely complicates or alters interpretation on screening mammography. AJR Am J Roentgenol. 170(6):1539-41, 1998
                                                          15. Viehweg P et al: Retrospective analysis for evaluation of the value of contrast-enhanced MRI in patients treated with breast conservative therapy. MAGMA. 7(3):141-52, 1998
                                                          16. Jackman RJ et al: Needle-localized breast biopsy: why do we fail? Radiology. 204(3):677-84, 1997
                                                          17. Berg WA et al: Lessons from mammographic-histopathologic correlation of large-core needle breast biopsy. Radiographics. 16(5):1111-30, 1996
                                                          18. Brenner RJ et al: Mammographic changes after excisional breast biopsy for benign disease. AJR Am J Roentgenol. 167(4):1047-52, 1996
                                                          19. DiPiro PJ et al: Seat belt injuries of the breast: findings on mammography and sonography. AJR Am J Roentgenol. 164(2):317-20, 1995
                                                          20. Hogge JP et al: The mammographic spectrum of fat necrosis of the breast. Radiographics. 15(6):1347-56, 1995
                                                          21. Whitehouse GH et al: MR imaging of the breast after surgery for breast cancer. Magn Reson Imaging Clin N Am. 2(4):591-603, 1994
                                                          22. Mendelson EB: Evaluation of the postoperative breast. Radiol Clin North Am. 30(1):107-38, 1992
                                                          23. Mendelson EB: Imaging the post-surgical breast. Semin Ultrasound CT MR. 10(2):154-70, 1989
                                                          24. Leucht WJ et al: Sonographic findings following conservative surgery and irradiation for breast carcinoma. Ultrasound Med Biol. 14 Suppl 1:27-41, 1988
                                                          25. Mitnick J et al: Differentiation of postsurgical changes from carcinoma of the breast. Surg Gynecol Obstet. 166(6):549-50, 1988
                                                          26. Sickles EA et al: Mammography of the postsurgical breast. AJR Am J Roentgenol. 136(3):585-8, 1981
                                                          27. Bassett LW et al: Mammographic spectrum of traumatic fat necrosis: the fallibility of "pathognomonic" signs of carcinoma. AJR Am J Roentgenol. 130(1):119-22, 1978