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