Majdak-Paredes E J, Shafighi M, During V, Sterne G D
Department of Plastic and Reconstructive Surgery, City Hospital Birmingham, Dudley Road, Birmingham B18 7QH, UK.
J Plast Reconstr Aesthet Surg. 2009 Apr;62(4):542-6. doi: 10.1016/j.bjps.2007.10.019. Epub 2007 Nov 26.
Galactorrhea is a relatively common condition, but has rarely been seen following breast reduction surgery. To date there are only seven cases reported in the literature, all in premenopausal women. Postsurgical galactorrhea is a diagnosis of exclusion and differential diagnosis is extensive. Common causes should be excluded first. We present the case of a 56-year-old postmenopausal woman who underwent bilateral breast reduction and developed galactorrhea 2 months postoperatively. MRI scan of the skull as well as Thyroid-Stimulating Hormone (TSH), prolactin levels were normal. She was on long-term hormonal replacement therapy. Because of suspected nerve-related pain in her right breast she was commenced on amitriptyline. We hypothesise that galactorrhea may have been caused by underlying neuroma or irritation of the anterior branch of the T4 intercostal nerve or hormonal replacement therapy or a combination of both.
溢乳是一种相对常见的病症，但在乳房缩小手术后很少见。迄今为止，文献中仅报道了7例，均为绝经前女性。术后溢乳是一种排除性诊断，鉴别诊断范围广泛。应首先排除常见病因。我们报告一例56岁绝经后女性，她接受了双侧乳房缩小手术，术后2个月出现溢乳。头颅磁共振成像扫描以及促甲状腺激素（TSH）、催乳素水平均正常。她正在接受长期激素替代治疗。由于怀疑右乳存在神经相关性疼痛，她开始服用阿米替林。我们推测溢乳可能是由潜在的神经瘤、T4肋间神经前支受刺激、激素替代治疗或两者共同作用引起的。
