Description

Poti et al reported a grading system for fat necrosis following breast irradiation for cancer. The authors are from Uzsoki Hospital in Budapest.


Patient selection: breast irradiation (60CO brachytherapy)

 

Parameters:

(1) calcifications on imaging studies

(2) tenderness or pain

(3) ulceration

(4) need for surgical excision/ablation to relieve symptoms

 

Calcifications

Tenderness

Ulceration

Need for Surgery

Grade

none

none

none

none

0

micro, < 1 cm

none

none

none

1

micro, >= 1 cm

none

none

none

2

micro or macro

yes

none

none

3

NA

NA

yes

NA

4

NA

NA

NA

yes

4

 


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