Galactocoele

INTRODUCTION
Milk-filled cyst beneath the nipple.
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EPIDEMIOLOGY
Usually occurs on cessation of lactation or when feeding frequency curtailed significantly.

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AETIOLOGY
Probably inspissated milk within ducts.
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BIOLOGICAL BEHAVIOUR
Natural history
May occur up to 10mo after breast feeding stopped.
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MANIFESTATIONS

Symptoms

Lump
Usually stopped breastfeeding recently.

Signs
Swelling usually in central portion of breast or under the nipple.

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INVESTIGATIONS

Aspiration

Usually produces thick creamy material.
May be tinged green or brown.
Sterile despite these appearances.
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MANAGEMENT

Aspirate it.
- this confirms the diagnosis and treats it.
Operation reserved for those that are infected or unable to be aspirated.
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REFERENCES
Sabiston 17th.