Breast Cancer Community
9.41k Members
Avatar universal

Fat necrosis and calcifications near nipple, Not lumpectomy site

There are microcalcifications shown on mammography near the nipple of my breast.  10 years ago I had a lumpectomy and radiation in my left breast, but on the outside quadrant of the breast, not near the nipple.

For the 1st years after the lumpectomy I had a mammography every 6 months. In the last 3 years, that has been reduced to a mammography yearly. I also took Tamoxifin for 5 years and have been taking Femara these last 5 years.

Now that this fat necrosis/calcifications are seen on mammography, my doctor wants to do a follow-up mammo in 6 months.  Obviously I am worried.  Is there a more or less llikelihood that this is breast cancer again, but in a different area of the breast?

This discussion is related to fat necrosis and calcifications.
1 Responses
Avatar universal

Calcifications usually indicate proliferative changes in the breast, and fat necrosis is rather unlikely.  Proliferative changes can range from hyperplasia, fibrocystic diseases, and malignancy in the extreme end of the spectrum.

However, there are patterns of calcifications that are indicative of malignancy, and I'm sure your doctor will tell you if this is the case.  You can also ask your radiologist about the BIRADS score of your mammogram since this will tell you if the lesion is more likely benign, malignant, or would need further evaluation (http://biradsclass.blogspot.com).

Regards and God bless.
Didn't find the answer you were looking for?
Ask a question
Popular Resources
A quick primer on the different ways breast cancer can be treated.
Diet and digestion have more to do with cancer prevention than you may realize
From mammograms to personal hygiene, learn the truth about these deadly breast cancer rumors.
Breast cancer is not an inevitability. From what you eat and drink to how much you exercise, learn what you can do to slash your risk.
In You Can Prevent a Stroke, Dr. Joshua Yamamoto and Dr. Kristin Thomas help us understand what we can do to prevent a stroke.
Smoking substitute may not provide such a healthy swap, after all.