Bilateral breast masses and bloody nipple discharge in a two year-old boy

E Böber1, E Ozer, F Akgür

  • 1Department of Pediatrics, University of Dokuz Eylül, Faculty of Medicine, Izmir, Turkey.

Insights

This study details a rare case of breast enlargement and bloody discharge in a two-year-old boy. Histologic findings suggest a condition similar to adult mammary duct ectasia, possibly due to the infant

Area of Science:

  • Pediatric Endocrinology
  • Surgical Pathology

Background:

  • Breast enlargement with bloody discharge is exceptionally rare in childhood.
  • This presentation necessitates careful diagnostic evaluation.

Observation:

  • A two-year-old boy presented with unilateral breast enlargement and persistent bloody discharge.
  • The clinical presentation prompted surgical intervention due to the persistent nature of the discharge.

Findings:

  • Histopathological examination of the resected tissue revealed mammary duct ectasia.
  • The microscopic findings in the infant were identical to those observed in adult cases of mammary duct ectasia.

Implications:

  • Suggests that the infant's endocrine system may play a role in developing mammary duct ectasia.
  • Highlights a potential shared pathophysiological mechanism for mammary duct ectasia across different age groups.
  • Underscores the importance of considering endocrine influences in pediatric breast abnormalities.