Galactocele

Case contributed by Dr Rania Adel Anan

Presentation

Breast feeding female presented with palpable left breast lump

Patient Data

Age: 25 years old
Gender: Female
Ultrasound

A well circumscribed lesion with fat fluid level & absent vascularity on Doppler scan noted within lactating breast that shows prominent retro and peri-areolar ducts.

 

Photo

Milky fluid aspirated from the lesion.

 

Case Discussion

Picture impressive of galactocele. 

Aspiration of milky fluid confirmed the diagnosis and decreased the lesion size. 

Differential diagnosis

General considerations on imaging include:

  • lactating adenoma: seen as a solid lesion and may show color flow within it
  • breast abscess: has a different clinical presentation, but can develop as a complication
  • fibroadenoma: classically ovoid or almond shaped with smooth border, internal homogeneous echogenicity and acoustic enhancement 7
  • carcinoma of the breast: especially for certain lesions on ultrasound

 

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