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Breast Lipoma: What You Need to Know

The breast lipoma is a frequent, benign tumor which consists of mature fat cells. This is a harmless condition that does not increase the risk of breast cancer.

Typically, lipoma appears as soft, painless and well-defined formationIt is easily detected through ultrasound or mammography, and is often discovered accidentally during a preventive check-up.

How is it diagnosed?

Confirmation of the diagnosis is done with core biopsy. However, in some cases the diagnosis may be difficult, either due to a discrepancy between imaging and histological findings, or due to the small possibility of underestimation of the lesion. In rare cases, other fatty tumors may mimic malignancy, reinforcing the need for a careful diagnostic approach.

It is important to note that clinical diagnosis may not always be accurate, which is why histological confirmation via core biopsy is crucial.

 

When is removal necessary?

The Surgical removal of the lipoma is recommended in two cases:

  • When they exist diagnostic questions that cannot be solved safely.
  • When the lipoma increases sharply in size, causing concern or annoyance.

In any case, the decision is personalized and always made in consultation with a specialist.

 

At breastaware.gr, you find valid and understandable information about all benign breast diseases, prevention and care of your health. Stay informed responsibly and stay by your side!

 

Bibliography:

  1. C. Lanng, B. Ø. Eriksen, J. Hoffmann Lipoma of the breast: a diagnostic dilemma. Breast. 2004 Oct;13(5):408-11.
  1. J.W. Serpell, R.Y.C. Chen Review of large deep lipomatous tumours. ANZ J Surg. 2007 Jul;77(7):524-9.
  1. M. Di Giulio, A. Bianchi, M. Corsi, M. Di Giulio, M. Di Giulio
    The Role of Core Biopsy versus Vacuum-Assisted Breast Biopsy in the Diagnosis of Breast Lesions. Case Rep Radiol. 2021;2021:9305811.
  1. Bilateral mammary hibernoma mimicking breast carcinoma. BMJ Case Rep. 2021 Mar 24;14(3):e240168.
  1. Daniel H. Russell, Elizabeth A. Montgomery, Barbara Susnik. Low to Intermediate (Borderline) Grade Breast Spindle Cell Lesions. Adv Anat Pathol. 2022 Sep 1;29(5):305-317.

Apostolos Mitrousias, MD, MSc

Breast Surgeon – Specialist in Breast Diseases, Military Medical Officer
43 Lazaraki St., Glyfada 16675, Athens, Greece
info@breastaware.gr
Since 2017
Integrated surgical, oncological, and post-surgical management
Breast Care Department – Secretary: Mirsini Tzamtzi
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