Mammographic findings don't differentiate between fat necrosis, carcinoma microcalcifications
Friday, May 6, 2011 (Last Updated: 05/09/2011)
FRIDAY, May 6 (HealthDay News) -- Mammographic findings fail to differentiate between benign and malignant carcinoma microcalcifications after autologous fat injection for breast augmentation, according to a study published in the April issue of Plastic and Reconstructive Surgery.
Cong-Feng Wang, M.D., from Meitan General Hospital in Beijing, and colleagues investigated the presence of clustered microcalcifications after autologous fat injection for breast augmentation. Using mammography, the presence of microcalcifications was investigated in 48 women who underwent augmentation of both breasts during a 10-year period (1999 to 2009). Clustered microcalcifications were resected with the help of localized needle breast biopsies in three patients with nonpalpable breast lesions. In other patients, the palpable lump was resected 1 cm away from its border. Pathologic examinations were performed on all the specimens.
The investigators identified clustered microcalcifications from the digitized mammographic films of eight women (16.7 percent), which were suspected as breast carcinoma microcalcifications. Histopathological analysis revealed that these were fat necroses.
"Clustered microcalcifications can be found after autologous fat injection for breast augmentation, which cannot be distinguished from malignancy. The mammographic confusion constitutes the problem rather than the success of the procedure itself, and the method should continue to be prohibited," the authors write.
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