Natural course of fat necrosis after breast reconstruction: a 10-year follow-up study

• Main Authors: Jeeyeon Lee, Ho Yong Park, Wan Wook Kim, Jeong Ju Lee, Hee Jung Keum, Jung Dug Yang, Jeong Woo Lee, Joon Seok Lee, Jin Hyang Jung
• Format: Article
• Language: English
• Published: BMC 2021-02-01
• Series: BMC Cancer
• Subjects: Breast; Carcinoma; Breast reconstruction; Fat necrosis
• Online Access: https://doi.org/10.1186/s12885-021-07881-x

Abstract Background Although fat necrosis is a minor postoperative complication after breast reconstruction, occasionally it mimics to tumor recurrence in patients with breast cancer. Therefore, the surgeon should distinguish between benign fat necrosis and true local recurrence. The authors evaluated the clinical characteristics of fat necrosis after breast reconstruction and investigated the natural course of fat necrosis. Methods Between 2007 and 2013, a total of 362 patients underwent breast reconstruction after partial or total mastectomy for breast cancer in Kyungpook National University Hospital. Clinicopathologic characteristics and the occurrence of fat necrosis were assessed during surveillance for 10 years of mean follow-up period. Results There were 42 cases (11.6%) of fat necrosis after breast reconstruction with partial or total mastectomy which were confirmed by needle or excision biopsy. The fat necrosis was resolved after a mean period of 45.9 months (SD, ± 42.1) and 26 cases (61.9%) of fat necrosis were almost completely resolved (less than 5 mm) during 10-year follow-up period. Conclusion Based on the natural course of fat necrosis, the fat necrosis after breast reconstruction can be only monitored, if pathologic confirmation was done. More than half of the cases will be resolved within 2–3 years.