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The Mammary Glands

The Mammary Glands

The female breast is a hemispheric projection of variable size positioned anterior to the pectoralis major and serratus anterior muscles. A fascia layer composed of dense, irregular connective tissue connects it to these muscles.
Each breast features a pigmented projection known as the nipple, through which milk emerges via closely spaced openings of ducts, referred to as lactiferous ducts. Surrounding the nipple is a circular pigmented area of skin named the areola, which appears rough due to...

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Giant Lactating Adenoma With Fibroadenomated Changes.

Sherif Monib¹, Kelvin Chong¹

¹Breast Surgery, West Hertfordshire Hospitals NHS Trust, St Albans, GBR.

|May 31, 2021

Summary

Lactating adenomas are rare, benign breast tumors often found during pregnancy or postpartum. This case highlights a rapidly growing lactating adenoma requiring surgical removal for diagnosis and cosmetic outcome.

Keywords:

benign breast disease fibroadenomatoid change lactating adenoma pregnancy related breast changes

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Area of Science:

Obstetrics and Gynecology
Surgical Oncology
Pathology

Background:

Lactating adenomas (LAs) are uncommon benign breast tumors.
They typically manifest during late pregnancy or the lactation period.
LAs are among the most prevalent breast lesions during the puerperium.

Observation:

Lactating adenomas commonly present as painless, rapidly growing, large, mobile breast lumps.
These tumors often appear late in pregnancy or the postpartum period.
A core biopsy is usually necessary to rule out malignancy.

Findings:

A case of a 34-year-old patient with a rapidly enlarging pre-existing right breast lump is presented.
The lump significantly increased in size during pregnancy.
Surgical excision was performed shortly after delivery.

Implications:

This case underscores the importance of diagnostic evaluation for rapidly growing breast masses during pregnancy and postpartum.
Surgical intervention can provide both diagnostic certainty and satisfactory cosmetic results for lactating adenomas.
Understanding the presentation and management of lactating adenomas is crucial for obstetricians, gynecologists, and breast surgeons.