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Clinics in diagnostic imaging (84). Galactocoele
M Muttarak1, W Padungchaichote
1Department of Radiology, Chiang Mai University, Chiang Mai, Thailand. mmuttara@meed.cmu.ac.th
Singapore Medical Journal
|September 4, 2003
Summary
A painless breast lump in a postpartum woman was diagnosed as a galactocoele, a common condition during lactation. This case highlights the importance of considering lactation-related breast masses in differential diagnoses.
Area of Science:
- Radiology
- Obstetrics & Gynecology
- Surgical Pathology
Background:
- Breast masses are common in women, with a wide differential diagnosis.
- Lactation and postpartum periods present unique challenges in breast mass evaluation.
- Galactocoeles are milk-filled cysts that can occur during lactation.
Purpose of the Study:
- To present a case of a galactocoele in a postpartum woman.
- To discuss the differential diagnosis of breast masses in lactating women.
- To illustrate other causes of fat-containing breast masses.
Main Methods:
- A 37-year-old woman, six months postpartum, presented with a three-month history of a painless left breast lump.
- Mammography revealed a mixed density mass with a fat-fluid level, suggestive of a galactocoele.
- Needle aspiration confirmed the diagnosis by yielding milky fluid.
Main Results:
- The mammographic findings were typical for a galactocoele.
- Needle aspiration successfully diagnosed the condition.
- The case underscores the importance of considering galactocoeles in postpartum breast masses.
Conclusions:
- Galactocoeles are a common and benign cause of breast masses in lactating women.
- Radiological features, particularly a fat-fluid level, can be indicative of a galactocoele.
- A comprehensive differential diagnosis, including other fat-containing masses, is essential for accurate breast mass evaluation.