PMID: 11906446Mar 22, 2002Paper

Lactating adenoma: a diagnosis of exclusion

The Breast Journal
T P BakerK K Hunt

Abstract

This is a case of a large lactating adenoma which developed in a 26 year old primagravida during the third trimester of her pregnancy. The presentation was that of a grossly enlarged and engorged breast with breast erythema, warmth and tenderness. Radiologic and pathologic examinations were difficult because of the lactational changes in the breast and areas of infarcted tissue within the large tumor. Skin biopsies and core biopsies of the mass were performed to exclude malignancy. Surgical resection of the mass was necessary for definitive diagnosis. The pathology proved to be a lactating adenoma, which is the most prevalent breast mass in young pregnant females. The large size of this tumor, and the presentation of breast erythema and edema raised the possibility of inflammatory breast cancer. Following surgical resection and definitive diagnosis of this tumor, the patient required plastic surgical reconstruction of the breast because of redundant breast tissue. Although most lactating adenomas spontaneously involute, the diagnosis is not always straight-forward and surgical resection may be required for definitive diagnosis and exclusion of other pathologic processes.

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Citations

Mar 1, 2013·Diagnostic Pathology·Faruk SkenderiSemir Vranic
Feb 3, 2009·Journal of Medical Case Reports·Stefano MagnoRiccardo Masetti
Aug 22, 2008·AJR. American Journal of Roentgenology·Aruna VadeDavide Bova
Nov 14, 2013·Case Reports in Obstetrics and Gynecology·Naama Lev-CohainIvan Pedrosa
Feb 7, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Josep M SabateEnrique Lerma
Sep 12, 2013·Obstetrics and Gynecology Clinics of North America·Michaela Onstad, Ashley Stuckey
Jul 25, 2013·Insights Into Imaging·Surekha JoshiPriscilla J Slanetz
Jan 24, 2012·Seminars in Ultrasound, CT, and MR·James M CanoyVivian Miller
Jan 7, 2017·Radiologia brasileira·Antônio Arildo Reginaldo de HolandaTécia Maria de Oliveira Maranhão
May 21, 2016·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Israel Barco NebredaAntonio García-Fernández
Dec 12, 2013·Obstetrics & Gynecology Science·Ji Hoon YuTae-Gyu Ahn
May 25, 2006·The Oncologist·Merih Guray, Aysegul A Sahin
Oct 21, 2016·Clinical Obstetrics and Gynecology·Brian Orr, Joseph L Kelley
Dec 24, 2019·Journal of Medical Ultrasound·Reddy Ravikanth, Kanagasabai Kamalasekar
Mar 9, 2017·Breast Disease·Islam A ElzahabyKhaled Atallah

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