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Galactocele

Milk Cyst


Presentation

  • Surgeons performing breast augmentation should be aware of the clinical presentation as well as the treatment options for this entity.[ncbi.nlm.nih.gov]
Axillary Lymphadenopathy
  • There was no e/o bilateral axillary lymphadenopathy. She was further referred to the radiology department. Mammography [Figure 1] a and [Figure 1] b demonstrated 5.5 cm 3.3 cm radio-opaque cystic lesion in the left axilla.[mjdrdypv.org]
Cervical Lymphadenopathy
  • Physical examination revealed elastic, nontender, freely movable mass, situated in the upper quadrants of the right breast, without nipple discharge, inflammatory signs, axillary, supraclavicular, or cervical lymphadenopathy.[saudijhealthsci.org]
Galactorrhea
  • Galactorrhea and galactoceles are relatively uncommon complications after breast augmentation surgery, but should be considered in the differential of an enlarged breast.[ncbi.nlm.nih.gov]
  • Galactocele is generally associated with breastfeeding, but it may on rare occasions be associated with galactorrhea or oral contraceptive use. Risk Factors: Breastfeeding, mastitis, galactorrhea, and abrupt weaning.[clinicalgate.com]
  • […] infertility (Azoospermia, Oligospermia ) penis: Phimosis - Balanoposthitis - Balanitis - Priapism - Erectile dysfunction - Peyronie's disease Hematospermia - Retrograde ejaculation Disorders of breast Chronic cystic mastitis - Mastitis - Gynecomastia - Galactorrhea[bionity.com]
Lymphadenopathy
  • There was no e/o bilateral axillary lymphadenopathy. She was further referred to the radiology department. Mammography [Figure 1] a and [Figure 1] b demonstrated 5.5 cm 3.3 cm radio-opaque cystic lesion in the left axilla.[mjdrdypv.org]
  • Physical examination revealed elastic, nontender, freely movable mass, situated in the upper quadrants of the right breast, without nipple discharge, inflammatory signs, axillary, supraclavicular, or cervical lymphadenopathy.[saudijhealthsci.org]
Infertility
  • […] of the pelvis, genitals and breasts (N40-N99, 600-629) Diseases of male genital organs prostate : Benign prostatic hyperplasia - Prostatitis testicle / epididymis : Hydrocele testis - Spermatocele - Testicular torsion - Orchitis - Epididymitis - Male infertility[bionity.com]
Pseudotumor
  • Galactoceles in children, either cystic or pseudotumors, are described in the literature as a rare cause of increasing breast size and can appear in males. We report a case of galactocele in a 15-month-old male, treated at our institution.[ncbi.nlm.nih.gov]
Aspiration
  • On Fine Needle Aspiration Cytology, milky fluid is aspirated, and cytology shows paucicellular aspirate with foamy macrophages and occasional apocrine cells in a proteinaceous fluid background.[ncbi.nlm.nih.gov]
  • She underwent cyst aspiration which revealed milky fluid. Fat globules were identified with microscopic examination, confirming the diagnosis of a galactocele. Aspiration resolved the mass.[experts.umich.edu]
Withdrawn
  • Nearlythere123 Mon 02-Dec-13 21:21:00 Shelly WaitingForPeterWimsey Mon 02-Dec-13 21:22:53 Message withdrawn at poster's request. WaitingForPeterWimsey Mon 02-Dec-13 21:24:28 Message withdrawn at poster's request.[mumsnet.com]
  • Ultrasound-guided needle aspiration was performed on the lesions and a white milk product containing fat and debris was withdrawn. According to the authors, "needle aspiration alone was therapeutic in eight patients."[auntminnie.com]
  • These are withdrawn as the wound granulates and fills in internally. Figs. 262, 265, and 268 in The Breastfeeding Atlas, 4th edition show various types of drains and wicks.[breastfeedingmaterials.com]
Breast Mass
  • Clinical, radiologic and pathologic evaluation of a breast mass during pregnancy and lactation often presents a challenge.[ncbi.nlm.nih.gov]
  • ", keywords "Breast cyst, Breast imaging, Breast mass, Galactocele, Pediatric", author "Alaniz, {Veronica I.} and Myrlene Jeudy and Mark Pearlman and Quint, {Elisabeth H.[experts.umich.edu]
Large Breast
  • I saw my OB today for a large breast lump that used to be a clogged duct but has not gone away and grown in size. She didn't know much but thinks it's a galactocele and referred me for an ultrasound and consult with the breast surgeon.[forums.llli.org]
Confusion
  • The differential diagnosis includes other breast lesions with acellular amorphous components that may be confused with crystallizing galactocele in FNA biopsy specimens.[ncbi.nlm.nih.gov]
  • Mammographic and ultrasound findings may be confusing to the radiologist who is trying to investigate a cyst or mass in the breast. Doppler & Histological Analysis On color Doppler investigation, lack of blood flow is evident.[news-medical.net]
  • In other words, the mammogram and the ultrasound might look confusing to the radiologist. Other histological aspects of galactocele breast lesions Galactoceles are frequently accompanied by necrotic debris or inflammatory fluids.[breast-cancer.ca]
  • Older galactoceles appear more confusing to a specialist when viewing your mammogram/ultrasound results.[katherinerosman.com]

Workup

Hyperprolactinemia
  • Hyperprolactinemia is the principal cause of galactocele in male breast.[ncbi.nlm.nih.gov]
  • The possibility of hyperprolactinemia (even mild) due to the prolactinoma to induce the growth of the cyst. 3. The difficulty of etiological diagnosis based only on mammography and ultrasound.[endocrine-abstracts.org]
Foam Cell
  • Cytologically, aspirates are generally noted to contain occasional foam cells and benign epithelium displaying lactational change with an abundant background of lipid micelles and proteinaceous material.[ncbi.nlm.nih.gov]

Treatment

  • Her galactocele resolved adequately with this treatment. Surgeons performing breast augmentation should be aware of the clinical presentation as well as the treatment options for this entity.[ncbi.nlm.nih.gov]
  • Treatment of the galactocele Treatment of galactocele should be comprehensive and timely, so as not to disrupt the process of normal lactation. Treatment can be medicamentous, operative, and also alternative means.[iliveok.com]
  • A controlled trial in Thailand looked at 2 treatments for galactocele. The first treatment involved needle aspiration of galactoceles. If the galactocele recurred, excision took place.[breastfeedingmaterials.com]

Prognosis

  • Treatment and prognosis They are benign lesions and spontaneous resolution occurs in a vast majority of cases. A small percentage have a residual collection that may mimic a fibroadenoma or complex cyst.[radiopaedia.org]
  • The prognosis of recovery in this case is high. The prognosis in terms of malignancy is a fairly high probability of metaplasia only with prolonged course and in the absence of adequate treatment.[iliveok.com]
  • Treatment and Prognosis Galactoceles usually resolve quickly on their own in most cases, as the hormonal changes linked to lactation settle down. Very few patients have residual masses which may be mistaken for a carcinoma or a fibroadenoma.[news-medical.net]

Etiology

  • The etiology of galactoceles in nonlactating women is poorly understood. Traditionally, treatment of these benign cysts in male children has been surgical excision.[ncbi.nlm.nih.gov]
  • Summary and Conclusion: The etiology of galactoceles in nonlactating women is poorly understood. Traditionally, treatment of these benign cysts in male children has been surgical excision.[experts.umich.edu]

Prevention

  • In prepubertal girls, conservative management by surveillance or needle aspiration is warranted to prevent damage to developing breast tissue.[ncbi.nlm.nih.gov]
  • Antibiotics are given to prevent infection.Galactoceles may be associated with oral contraceptive use. Reference Robbins Basic Pathology Case description and discussion at Harvard.edu[en.wikipedia.org]
  • Sometimes doctors immediately resort to surgical treatment to prevent complications. Prevention Prevention of galactocele, first of all, provides the correctness of the process of feeding.[iliveok.com]
  • Preventing Reoccurrence There is no definitive way to prevent a galactocele from returning once you have had one, aside from having the affected duct surgically removed.[katherinerosman.com]

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