Alaniz Veronica I, Jeudy Myrlene, Pearlman Mark, Quint Elisabeth H
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
J Pediatr Adolesc Gynecol. 2017 Aug;30(4):499-500. doi: 10.1016/j.jpag.2017.01.007. Epub 2017 Jan 23.
Galactoceles have been previously described as an unusual cause of benign breast enlargement in male infants and children.
A 3-year-old prepubertal girl presented with a right-sided breast mass and was found to have a 4.4-cm hypoechoic cyst on ultrasound imaging with otherwise normal endocrine studies including prolactin levels. She underwent cyst aspiration which revealed milky fluid. Fat globules were identified with microscopic examination, confirming the diagnosis of a galactocele. Aspiration resolved the mass.
The etiology of galactoceles in nonlactating women is poorly understood. Traditionally, treatment of these benign cysts in male children has been surgical excision. In prepubertal girls, conservative management by surveillance or needle aspiration is warranted to prevent damage to developing breast tissue.
乳腺积乳囊肿此前被描述为男性婴儿和儿童良性乳腺增大的罕见原因。
一名3岁青春期前女孩因右侧乳房肿块就诊，超声检查发现一个4.4厘米的低回声囊肿，其他内分泌检查包括催乳素水平均正常。她接受了囊肿抽吸，抽出的是乳白色液体。显微镜检查发现脂肪球，确诊为乳腺积乳囊肿。抽吸后肿块消失。
非哺乳期女性乳腺积乳囊肿的病因尚不清楚。传统上，男性儿童这些良性囊肿的治疗方法是手术切除。对于青春期前女孩，应采用监测或针吸等保守治疗方法，以防止对发育中的乳腺组织造成损伤。
