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[Galactorrhoea and thoracic surgery (author's transl)]

G Magnin, J P Martin, J Ninet

    Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
    |January 1, 1981
    PubMed
    Summary

    Galactorrhoea, a rare complication of thoracic surgery, may result from thoracic nerve irritation. This condition typically resolves spontaneously within months, though bromocriptine treatment can be contraindicated.

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    Area of Science:

    • Thoracic Surgery
    • Endocrinology
    • Neurology

    Context:

    • Galactorrhoea is a rare complication following thoracic surgery.
    • This study reviews 4 cases and 21 literature cases of post-thoracotomy galactorrhoea.

    Purpose:

    • To investigate the cause and presentation of galactorrhoea after thoracic surgery.
    • To explore the link between thoracic nerve irritation and hyperprolactinaemia.

    Summary:

    • Galactorrhoea onset occurs within a week post-surgery, linked to irritation of thoracic nerves (3rd-6th).
    • This irritation leads to hyperprolactinaemia, not solely attributable to surgical stress or anesthesia.
    • The condition resolves spontaneously in 2-3 months; bromocriptine may be contraindicated due to conditions like Raynaud's syndrome.

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    Impact:

    • Highlights a specific, rare complication of thoracic surgery.
    • Suggests a neurological mechanism for post-surgical hyperprolactinaemia.
    • Informs clinical management regarding potential contraindications for treatment.