Breast: Galactocele & Mammary Duct Fistula
Galactocele (Milk Retention Cyst)
Basics
- Definition: Milk Filled Cyst
- Cause: Obstructed Milk Duct
Presentation
- Soft Cystic Masses
- Usually Painless Unless Infected
Diagnosis
- Initial Evaluation: US
- Diagnosis: Aspiration (Milky/Creamy Fluid)
Treatment
- Asymptomatic: Conservative Management (Warm Compress & Massage)
- Symptomatic: Needle Aspiration
- May Require Repeated Draining
- May Require Surgical Excision if Repeatedly Fails
- Continue Breastfeeding
Mammary Duct (Milk) Fistula
Basics
- Definition: Connection Between Mammary Duct & Skin Surface
- Most Common After Fine Needle Aspiration (FNA), Biopsy or Surgical Intervention While Breast Feeding
- Higher Risk in Central Lesions than Peripheral Lesions
Presentation
- Spontaneous Drainage of Milk from the Skin
Diagnosis
- Clinical Diagnosis (Based on History & Physical)
- US May Assist
Treatment
- Stop Breast Feeding