Rincón-Gallardo A

Language: Spanish
References: 15
Page: 69-74
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ABSTRACT

Galactocele, also known as lactocele or milk cyst, is a rare benign milk retention cyst that occurs almost exclusively in lactating mothers. Blockage of a mammary duct is the main etiologic factor and presents as a single, rounded, painless lump in the breast. The diagnosis is made by ultrasound and must be differentiated from other breast diseases such as cysts, fibroadenomas, abscesses or carcinomas. In most cases it can be resolved spontaneously when breastfeeding ceases. Fine-needle aspiration is usually diagnostic and therapeutic, and in cases where the galactocele is recurrent or persistent, it can be surgically removed.
We present the case of a 31-year-old female patient who, 5 months after the start of breastfeeding, presented a breast lump in the upper inner quadrant of the right breast of approximately 5 cm in diameter, with an ultrasound diagnosis of galactocele, with aspiration performed with fine needle. Surgical excision was performed, presenting as a complication the formation of a breast abscess at the surgical site that resolved satisfactorily with drainage and antimicrobial therapy. During the clinical course, surgical excision, and treatment of complications, the mother continued to exclusively breastfeed.

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