Lactating Adenoma of the Breast a Diagnostic Difficulty in Pregnancy and Rewarding Natural History during Lactation: A Case Report and Review of Literature
[1]
Aamir A. Hamza , Department of General Surgery,College of Medicine and Health Sciences, University of Bahri, Khartoum, Sudan.
[2]
Saadeldin A. Idris , Department of General Surgery, Faculty of Medicine, Alzaeim Alazhari University, Khartoum, Sudan.
Lactating adenoma of the breast is a very rare pathological condition. Usually occurs during pregnancy or lactation. Pathological diagnosis is difficult, because of the lactation changes during pregnancy and rarity of the condition. Herein we presented a 20-year-old Sudanese female with a left breast mass, firm in consistency, increasing in size rapidly with time. Fine needle aspiration cytology (FNAC) was done twice together with Tru-cut needle biopsy and all were inconclusive. Later on incisional biopsy was performed that led to resolution of the diagnostic dilemma and establishes the pathology of lactating adenoma. Bromocriptine mesilate tablet was started and soon discontinued as it causes severe nausea to the patient. Surgery was advised and patient refused the operation. During subsequent follow up, it increased dramatically after delivery to reach a maximum size of 15 x 10 cm. and then gradually regressed to reach 2 x 1 cm, eighteen months after delivery.
Breast lump, Lactation, Lactating Adenoma, Pregnancy
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