Does Male Infantile Galactocele Always Necessitate Surgical Intervention?

Area of Science:

• Pediatric Endocrinology
• Breast Imaging
• Surgical Pathology

Background:

• Galactocele, a cystic dilatation of the mammary gland containing milk, typically presents as a painless breast mass.
• This condition is exceptionally rare in the male pediatric population, with limited documented cases.

Observation:

• A 14-month-old male infant presented with unilateral breast enlargement.
• Physical examination revealed a fluctuant, soft, mobile, and non-tender mass in the right breast.

Findings:

• Ultrasound imaging demonstrated a simple cystic hypoechoic mass in the affected breast.
• Needle aspiration yielded a milky-colored fluid, confirming the diagnosis of galactocele.

Implications:

• This case expands the literature on pediatric male galactocele, highlighting its rarity.
• It underscores the importance of diagnostic imaging and aspiration in evaluating breast masses in infants.
• Early diagnosis and appropriate management are crucial for pediatric patients presenting with breast abnormalities.