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Can fat necrosis initially developed after a TRAM flap reconstruction of the breast continue after 3 years?


After a modified mastectomy and a TRAM flap reconstruction I developed fat necrosis due to poor blood supply to the flap. This fat necrosis consisted of a large lump (2 x 3 in). However after 3 years I noticed a pea size lump that developed around the incision and now after a year is 3 times larger. A biopsy showed that the lump is fat necrosis. However it continues to grow. Is it possible for fat necrosis to continue to grow or could this be a cancer tumor recurrence that has not been properly diagnosed? I hear different answers from different doctors, such as fat necrosis do not usually grow, I don't know, fat necrosis continue to grow. I am confused and worried. My tumor marker has always been on the high side (30-39) but always consistent.

Doubt it is a new cancer. In my experience fat necrosis lumps and lipomas don't follow any definite growth or shrinkage pattern. Some will fluctuate in size in relationship to your general body weight, some will slowly increase in size and some will stay the same. Sorry, I know this answer is not very helpful, but this is my experience.

signed, Lumpy
better check out the foll.
www.cancer.org
www.webmd.com
www.doctor.vg
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