Presentation
Breast feeding female presented with palpable left breast lump
Patient Data
Age: 25 years old
Gender: Female
From the case:
Galactocele
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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.
From the case:
Galactocele
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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