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Peri-implant galactocele following vacuum-assisted core biopsy of the breast: a cautionary tale

Donna Taylor1, Sagarika Thushanthi Kulawansa, Dugald Dalziel McCallum

  • 1Department of Radiology, Royal Perth Hospital, Perth, Western Australia, Australia. Donna.Taylor@health.wa.gov.au

BMJ Case Reports
|June 11, 2013
PubMed

A lactating woman in her early 40s with a strong family history of breast cancer presented with a markedly swollen breast days after having a vacuum-assisted core biopsy performed to sample indeterminate microcalcifications in her left breast. Ultrasound showed a large peri-implant fluid collection which yielded milky fluid on aspiration consistent with galactocele formation. Histology of the core specimens revealed a fragment of fibrous capsule suggesting that the core biopsy had created a fistula between the breast tissue and the peri-implant space. Bromocriptine was given and the galactocele slowly resolved.

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