Bilateral spontaneous pseudo-tumoral cytosteatonecrosis of the breast. Apropos of 2 cases in men
Wiel Masson, D.; Taurelle, R.; Schaison, G.; Tristan, H.; Wilde, F.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 18(6): 756-760
1989
ISSN/ISBN: 0368-2315 PMID: 2689502 Document Number: 333927
Two uncommon cases of bilateral breast ischaemia in men are reported. Only one similar case has been published so far. Women, after pregnancy and delivery may also have fat necrosis of the breast, but it is also very unusual. Clinical symptoms are serious, and like tumours. The histological diagnosis is difficult to distinguishable from tissue changes due to self injected paraffin. However in those cases the X ray clearly shows pathognomonic signs of a paraffinoma. The physiopathology is still unclear. In our two cases we did not find any specific etiology. The main contributing factors are likely to be gynaecomastia and adipomastia complicated by lipo-glandular lysis caused by deep glandular ischemia.