What is the recommended disposition for a patient with suspected fat necrosis of the breast?

The recommended disposition for a patient with suspected fat necrosis of the breast involves an outpatient referral to a breast surgeon. Fat necrosis commonly occurs in women and can often be a benign condition arising from trauma, surgery, or certain medical procedures affecting the breast. While it may present with a palpable mass or other changes, it is essential to confirm the diagnosis.

Referring the patient to a breast surgeon is advantageous because the surgeon can evaluate the lesion further, determine if any imaging studies are warranted, and decide if any intervention is needed. A proper assessment allows for differentiation from other potential breast issues, including malignancy. This collaborative approach ensures that the patient receives personalized treatment while minimizing unnecessary interventions.

Immediate surgery is generally reserved for cases with a high suspicion of malignancy or complications, which is not typically the case with fat necrosis. Similarly, follow-up within a week might not be appropriate, as a more comprehensive evaluation is usually necessary to address the patient's concerns adequately. Diagnostic imaging alone may not suffice either, as it needs to be interpreted in the context of a clinical examination and a patient's history. Thus, an outpatient referral for expert evaluation is the most prudent course of action.