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

Ivan De La Riva-Morales; Gianfranco E. Umeres-Francia; Jorge Novo

doi:10.1177/10668969231201416

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

Ivan De La Riva-Morales, Gianfranco E. Umeres-Francia, Jorge Novo

International journal of surgical pathology · 2023 · vol. 32(5) , pp. 952–956 · doi:10.1177/10668969231201416 · PMID:37715651 · W4386803413

case-report OA: closed CC0 ⤵ 1 in-corpus citation

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report details endometriosis in the breast mimicking fat necrosis, likely seeded from a previous cesarean section scar via abdominal tissue used in reconstructive surgery.

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Abstract

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.

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Condition tags

endometriosis

MeSH descriptors

Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases Breast Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (22)

Cesarean scar endometriosis: presentation of 198 cases and literature review via openalex
Challenges in Diagnosis and Prevention of Iatrogenic Endometriosis as a Long-Term Surgical Complication after C-Section via openalex
Ectopic endometriosis presenting as a breast abscess in a teenager via openalex
Endometriosis and breast cancer: A survey of the epidemiological studies via openalex
Endometriosis and Infertility via openalex
Endometriosis and risks for ovarian, endometrial and breast cancers: A nationwide cohort study via openalex
Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations via openalex
Extrapelvic endometriosis: a rare entity or an under diagnosed condition? via openalex
Extra‐pelvic endometriosis: A review via openalex
Genetic influences on endometriosis in an Australian twin sample via openalex
Heritability of endometriosis via openalex
Iatrogenic endometriosis harbors somatic cancer-driver mutations via openalex
Implantation versus Infiltration: The Sampson versus the Endometriotic Disease Theory via openalex
Malignant phyllodes tumour of the breast mimicking endometriosis via openalex
Management Challenges of Deep Infiltrating Endometriosis. via openalex
Postmenopausal Cutaneous Endometriosis: Mimicking Breast Metastasis via openalex
Rectus abdominis endometrioma via openalex
Should Genetics Now Be Considered the Pre-eminent Etiologic Factor in Endometriosis? via openalex
Splenic lesion mimicking breast metastasis: The first description of splenic parenchymal endometriosis via openalex
The Origin and Pathogenesis of Endometriosis via openalex
W2002411327 via openalex
W4224069017 via openalex

Cited by (1)

Current perspectives on diagnosis and management of primary and secondary breast endometriosis and potential risk of breast cancer 2026

Source provenance

europepmc: last seen: 2026-08-27T06:11:05.884134+00:00
openalex: last seen: 2026-06-10T17:14:06.276822+00:00
pubmed: last seen: 2026-08-27T06:09:36.867913+00:00

License: CC0 · commercial use OK

[1] Cesarean scar endometriosis: presentation of 198 cases and literature review via openalex

[2] Challenges in Diagnosis and Prevention of Iatrogenic Endometriosis as a Long-Term Surgical Complication after C-Section via openalex

[3] Ectopic endometriosis presenting as a breast abscess in a teenager via openalex

[4] Endometriosis and breast cancer: A survey of the epidemiological studies via openalex

[5] Endometriosis and Infertility via openalex

[6] Endometriosis and risks for ovarian, endometrial and breast cancers: A nationwide cohort study via openalex

[7] Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations via openalex

[8] Extrapelvic endometriosis: a rare entity or an under diagnosed condition? via openalex

[9] Extra‐pelvic endometriosis: A review via openalex

[10] Genetic influences on endometriosis in an Australian twin sample via openalex

[11] Heritability of endometriosis via openalex

[12] Iatrogenic endometriosis harbors somatic cancer-driver mutations via openalex

[13] Implantation versus Infiltration: The Sampson versus the Endometriotic Disease Theory via openalex

[14] Malignant phyllodes tumour of the breast mimicking endometriosis via openalex

[15] Management Challenges of Deep Infiltrating Endometriosis. via openalex

[16] Postmenopausal Cutaneous Endometriosis: Mimicking Breast Metastasis via openalex

[17] Rectus abdominis endometrioma via openalex

[18] Should Genetics Now Be Considered the Pre-eminent Etiologic Factor in Endometriosis? via openalex

[19] Splenic lesion mimicking breast metastasis: The first description of splenic parenchymal endometriosis via openalex

[20] The Origin and Pathogenesis of Endometriosis via openalex

[21] W2002411327 via openalex

[22] W4224069017 via openalex