Iatrogenic Endometriosis of the Breast Mimicking Fat Necrosis: A Case Report

• Autores: De La Riva-Morales, Ivan, Umeres-Francia, Gianfranco Eddu, Novo, Jorge Eduardo
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Universidad Peruana de Ciencias Aplicadas
• Repositorio: UPC-Institucional
• Lenguaje: inglés
• OAI Identifier: oai:repositorioacademico.upc.edu.pe:10757/669057
• Enlace del recurso: http://hdl.handle.net/10757/669057
• Nivel de acceso: acceso embargado
• Materia: fat necrosis; iatrogenic endometriosis; reconstructive surgery; Ductal Carcinoma In Situ; Bilateral Mastectomy; Deep Inferior Epigastric Perforator (DIEP) Flap; Breast Asymmetry; Fat Necrosis; Histological Analysis; Endometriosis; Immunohistochemical Analysis; Cesarean Section Scar; Ectopic Endometrial Glands; https://purl.org/pe-repo/ocde/ford#3.00.00

A female patient with a history of ductal carcinoma in situ in the left breast, status-post bilateral mastectomy with deep inferior epigastric perforator artery flap reconstructive surgery, presented with a right breast asymmetry concerning for fat necrosis. Histological analysis revealed the presence of benign glands and associated stroma within fibroadipose tissue, confirmed as endometriosis by immunohistochemical analysis. Further investigation revealed that the patient had a previous diagnosis of endometriosis associated with a cesarean section scar that likely seeded the ectopic endometrial glands into a tertiary site by utilizing abdominal tissue that may have harbored endometriosis.