Fat necrosis in Goldilocks reconstruction after double mastectomy

Posted by laparker @laparker, May 24 4:04pm

Has anyone had experience with fat necrosis in the reconstructed tissue?

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Yes. My surgeon wanted to be completely sure that was the diagnosis, so removal was done. All was well.

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Hi. Just had my annual mammogram and ultrasound. Hey found a mass on my mastectomy site. Says suspicious. Biopsies scheduled June 2nd. Wish me luck.

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Hi Bluebird
Thinking of you today and sending wishes of good news following your biopsies!

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@gbnana

Hi Bluebird
Thinking of you today and sending wishes of good news following your biopsies!

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Thank you so much. Blind sided me as I have been feeling really good and wasn’t anxious as I have been for previous ones😳.

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@laparker, welcome. As you probably know, fat necrosis is a benign (not cancer) condition that most commonly develops after an injury or trauma to the breast tissue, like surgery or radiation. A lump can form if an area of fatty breast tissue is damaged, for example during a biopsy or surgery. Necrosis is a medical term that describes damaged or dead tissue. But heck, justing hearing the words lump, trauma and damage can send one into a tailspin, right?

As @tessspike shared, sometimes it will be removed to make sure the lump is fat necrosis. Oten no treatment is necessary because it will go away on its own. @trixie1313 and @char820 may have experiences to add.

Laparker, when did you discover the fat necrosis? Has the surgeon suggested observing it or removal?

@bluebird70, was necrosis mentioned as a possibility in your case?

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Hi @colleenyoung. Yes he mentioned necrosis, mentioned could be something was left behind from surgery, and that it was suspicious enough to warrant the biopsy. They will do the needle first to see if they can draw fluid from it and if not then the biopsy. He said I would not have found it myself it was the ultra sound that picked it up. He said it was about 6 cm. My original cancer was 2 cm Invasive ductile cancer and very close to the chest wall and grade 3 with no lymph node involvement. My onco score was 51. I am still trying to keep a positive attitude here. Can’t do anything about it until it slaps you in the face🙂. I will keep you posted. Not sure how long it will take to get the results? I am in Canada 🇨🇦

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