Breast: Galactocele

Published on 06/06/2015 by admin

Filed under Obstetrics & Gynecology

Last modified 06/06/2015

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Chapter 151 Breast: Galactocele

INTRODUCTION

Description: Galactocele is cystic dilation of a duct or ducts, with inspissated milk and desquamated epithelial cells, that may become infected, resulting in acute mastitis or an abscess.
Prevalence: Common in asymptomatic form.
Predominant Age: Reproductive.
Genetics: No genetic pattern.

ETIOLOGY AND PATHOGENESIS

Causes: Ductal obstruction and inflammation during or soon after lactation may lead to cystic dilation of a duct or ducts and the subsequent development of a galactocele. Galactocele is generally associated with breastfeeding, but it may on rare occasions be associated with galactorrhea or oral contraceptive use.
Risk Factors: Breastfeeding, mastitis, galactorrhea, and abrupt weaning.

CLINICAL CHARACTERISTICS

Signs and Symptoms

• Painless mass palpable in the central portion of the breast

DIAGNOSTIC APPROACH

Differential Diagnosis

• Duct ectasia
• Lipoma
• Fibrocystic change
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