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Galactocoele of childhood--a case report
1Department of Paediatric Surgery, University of Nigeria Teaching Hospital, Enugu.
Singapore Medical Journal
|October 1, 1990
Insights
A pediatric milk cyst caused unilateral breast enlargement in a young boy. Surgical findings indicated inflammation and tissue changes from repeated trauma.
Area of Science:
- Pediatric Endocrinology
- Surgical Pathology
Background:
- Unilateral breast enlargement in young children can be a concerning symptom requiring investigation.
- Milk cysts, though rare in pediatric cases, can present as palpable masses.
Observation:
- A 31-month-old boy presented with unilateral breast enlargement.
- Surgical exploration revealed a milk cyst with denuded lining epithelium and chronic inflammation.
Findings:
- Histopathological examination showed inflammatory cellular infiltration and foreign-body giant cells.
- These findings suggest epithelial involution due to pressure from attempted cyst expression.
Implications:
- This case highlights a rare cause of pediatric gynecomastia.
- Understanding the etiology of milk cysts is crucial for appropriate diagnosis and management in children.
Abstract:
A 31-month old boy with unilateral breast enlargement was found at surgical exploration to have a milk cyst whose lining epithelium was denuded in patches with chronic inflammatory cellular infiltration. The presence of foreign-body giant cells suggests involution of the secretory epithelium due to pressure effects of repeated trauma from attempted expression of the cyst contents.