32 year old lactating mother of twins presents with a palpable mass left breast
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Ultrasound of the area confirms a mixed echogenicity mass lesion measuring 13 mm in diameter.
This lesion tuned out to be a galactocele. At the insistence of the patient the lesion was aspirated and milky fluid obtained. The lesion did not disappear completely on aspiration and was palpable for a couple of weeks after.
Galactocoels are difficult lesions to manage from an imaging perspective. They have widely different presentations on ultrasound and traditionally we have been loathe to aspirate them due to the theretical possibility of fistula formation. The wide varaiation in apprearance on ultrasound and the realtive infrequency with which we see these lesions as well as the danger of missing a more sinsiter lesion, makes meticulous follow up manadatory.
Compare this case with case 21494