Abstract
Breast cysts (galactocele) form in the mammary gland from ductal obstruction. Multiple pathologic entities may produce complex cystic breast lesions. Ultrasound is presently the first primary modality in breast evaluation after physical palpitation. We report a progressive case of multiple cysts in a 32-year-old woman, ranging from 28 mm to 20 mm. Though in-situ milk (sono-penic) appears sterile, the superficial presentation (externally) is that of a firm mass. Due to the known hazards of radioactive mammography, this case report proves the usefulness of sonar to image, map, measure, identify and diagnose breast pathology. In women with dense-heavy breast, ultrasound examination will play an important role in screening palpable and non-palpable masses.
Highlights
A galactocele is a cyst that forms from the obstruction of a lactiferous duct within the breast
We report a progressive case of multiple cysts in a 32-year-old woman, ranging from 28 mm to 20 mm
A galactocele is the most ubiquitous benign mass lesion diagnosed during lactation it may develop after stoppage of breastfeeding or neonate suckling when milk is stagnant [2]
Summary
A galactocele is a cyst that forms from the obstruction of a lactiferous duct within the breast. Galactocele appear similar to simple cysts but instead contain milk, they can mimic or have parallel features to fibro-adenoma, carcinoma and other breast lesions [1]. A galactocele is the most ubiquitous benign mass lesion diagnosed during lactation it may develop after stoppage of breastfeeding or neonate suckling when milk is stagnant [2]. Breast cysts developing in the bilateral mammary glands are known as galactocele. Complex breast cysts are distinct from galactocele in that they possess thick septa walls, have other discrete solid components or intra-cystic masses [3]. Complex cysts of the mammary glands are sometimes separated, with thick-walls and with intra-cystic masses in-situ. If a galactocelic lesion is seen during early gravidae before parturition, a biopsy may be considered [10]
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