Breast fat necrosis is a lump in the breast that is not cancerous. It happens when breast tissue dies. This process, called necrosis, occurs when cells do not get enough oxygen. When breast tissue is damaged, fat cells die and release oils. These oils form small sacs called cysts. Over time, these cysts can harden and turn into scar tissue. Fat necrosis often shows up after things like radiation therapy, breast surgery, or a physical injury to the breast. While finding a lump can be scary, these lumps are not a threat to your health and they do not increase your risk of getting breast cancer.
The main sign is a firm or solid lump in your breast. Most of the time, it does not hurt, but some people might find the area feels a bit tender. Other symptoms are very rare, but you might see some bruising or the skin might look a different color around the lump. It is very difficult for a doctor to tell the difference between a fat necrosis lump and a cancer lump just by touching it or looking at a mammogram. Because of this, it is very important to see a doctor whenever you find any kind of new lump in your breast.
It is hard to know for sure if a lump is fat necrosis or cancer without a special test called a biopsy. However, breast cancer usually has other warning signs that you will not see with fat necrosis. Breast cancer symptoms can change depending on how far the disease has progressed. Some signs that might point to breast cancer include:
If you notice any of these specific changes, you must talk to a doctor right away, as these are not typical for fat necrosis.
Sometimes, fat necrosis leads to the creation of oil cysts. When fat cells break down, the oil can collect in one spot instead of turning into hard scar tissue. These are sacs filled with fluid and are not cancerous. If your body adds a layer of calcium over the sac, it might feel:
Just like fat necrosis, the only sign of an oil cyst is usually the lump itself. Doctors usually find these using a breast ultrasound, though they sometimes show up on mammograms. Most oil cysts go away on their own. If one is causing you pain, a doctor can use a thin needle to drain the fluid, which makes the cyst flatten out.
The most common causes are things that cause "trauma" or injury to the breast tissue. This includes radiation therapy, breast surgery, or accidents. Surgery is the most frequent cause, including:
This condition is more common in women, especially those around the age of 50 (the perimenopausal age). It is also seen more often in women with larger, heavier breasts that tend to droop downward. If you have had breast cancer, your risk is higher because of the treatments used, such as radiation or surgery. Having reconstruction surgery after cancer also makes fat necrosis more likely to occur.
You might feel a lump yourself, or a doctor might find it during a regular checkup or a mammogram. If you find a lump, the doctor will likely perform a physical exam and then ask for an ultrasound or a mammogram to see what is happening inside. To be 100% sure that there are no cancer cells, the doctor may perform a needle biopsy, where they take a tiny sample of the lump to test it.
In most cases, fat necrosis does not need any special medical treatment because it usually goes away on its own over time. If the area feels sore or painful, you can take over-the-counter medicines like Ibuprofen (Advil or Motrin) to help with the swelling. You can also try using a warm compress or gently massaging the area. While a doctor can perform surgery to remove a very large or painful lump, this is rarely done because the surgery itself could actually cause more fat necrosis to form. If you have an oil cyst that is bothering you, a doctor can simply drain it with a needle.
Tender Palm Super-Speciality Hospital offers advanced Breast Fat Necrosis and Oil Cysts treatment in Lucknow, India, at an affordable cost. We have a team of experienced breast surgeons and radiologists, known as some of the best doctors for benign breast conditions. We provide accurate diagnosis with advanced imaging and biopsy when required, personalized medical management, and surgical treatment in selected cases. Our team has decades of experience in successfully treating Breast Fat Necrosis in Lucknow, India.
Call us at +91-9076972161
Email at care@tenderpalm.com