Breast lactational adenoma

Case contributed by Hala Maher , 26 Jul 2022
Diagnosis certain
Changed by Ian Bickle, 30 Jul 2022

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Age changed from 29 years to 30 years.
Presentation was changed:
A lactating female complaining of a palpable left breast lump.No. No associated pain or signs of inflammation.
Body was changed:

 ClusteredClustered microcysts are not that common lesions it countsand account for about 6 % of the breast lesions and almost are benign nature.Its.  Its origin is the terminal lobular unit that showing cystic dilatation.

To give the lesion term clustered microcysts it should fulfil few criteria as the cysts should be tiny 2-3 mm with intervening septeaseptae less than 0.5 mm and showing no definite solid components.

This case proved by histo pathologyhistopathology to be lactaionallactational adenosis / lactational/lactational adenoma associated with fibrocystic changes and apocrine metaplasia .

B2: benign lesion (Reporting(reporting system of UK National Health Service Screening Programme)

whenWhen should we recommend biopsy for micro cystic clusters?

In post menopausal woman and if there is any suspicious signs as solid components , hyper vascular thickened internal septeaseptae .Other wise; annual ultrasound follow is recommended.

  • -<p> Clustered microcysts are not that common lesions it counts about 6 % of the breast lesions and almost are benign nature.Its origin is terminal lobular unit that showing cystic dilatation.</p><p>To give the lesion term clustered microcysts it should fulfil few criteria as the cysts should be tiny 2-3 mm with intervening septea less than 0.5 mm and showing no definite solid components.</p><p>This case proved by histo pathology to be lactaional adenosis / lactational adenoma associated with fibrocystic changes and apocrine metaplasia .</p><p>B2: benign lesion (Reporting system of UK National Health Service Screening Programme)</p><p>when should we recommend biopsy for micro cystic clusters?</p><p>In post menopausal woman and if there is any suspicious signs as solid components , hyper vascular thickened internal septea .Other wise; annual ultrasound follow is recommended.</p>
  • +<p>Clustered microcysts are not that common lesions and account for about 6 % of breast lesions and almost are benign nature.  Its origin is the terminal lobular unit that showing cystic dilatation.</p><p>To give the lesion term clustered microcysts it should fulfil few criteria as the cysts should be tiny 2-3 mm with intervening septae less than 0.5 mm and showing no definite solid components.</p><p>This case proved by histopathology to be lactational adenosis/lactational adenoma associated with fibrocystic changes and apocrine metaplasia .</p><p>B2: benign lesion (reporting system of UK National Health Service Screening Programme)</p><p>When should we recommend biopsy for micro cystic clusters?</p><p>In post menopausal woman and if there is any suspicious signs as solid components , hyper vascular thickened internal septae .Other wise; annual ultrasound follow is recommended.</p>

Updates to Study Attributes

Findings was changed:

High resolution ultrasound of the left breast showing  a well defined micro lobulated predominantly cystic lesion showing clustered micro-cystsmicrocysts with non mass lesion located at LIQleft inner quadrant It measures 14 x 23 x 29 mm.19.5 x 26.4 mm.

All cysts appear clear with no floating echoes or calcifications.

On colorcolour Doppler the lesion showing no definite internal vascularity .

On Elastographyelastography it showing no definite signs of stiffness and giving BGR signal .

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