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
0
micro, < 1 cm
1
micro, >= 1 cm
2
micro or macro
yes
3
NA
4
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Specialty: Hematology Oncology