Monib Sherif, Elkorety Mohamed
West Hertfordshire Hospitals NHS Trust, Hertfordshire, UK.
Eur J Case Rep Intern Med. 2020 Mar 18;7(5):001579. doi: 10.12890/2020_001579. eCollection 2020.
Lactating adenomas are benign breast tumours which normally present in the peripartum period. Aetiology, pathogenesis, best diagnostic modality and management are not yet clear in the literature. We present a case of a 32-year-old pregnant patient who was re-referred to us with a progressively increasing left breast lesion, pre-existing prior to pregnancy, which was found to be a huge lactating adenoma.
Pregnant and lactating women should stay breast aware and perform monthly breast self-examinations to detect any abnormalities at an early stage.In the absence of specific ultrasound features to identify lactating adenoma, triple assessment, including core biopsy, is the mainstay of diagnosis.Lactating adenomas, especially those potentially related to a pre-existing breast lesion or large in size, should be reported in order to develop evidence-based management guidelines.
泌乳性腺瘤是一种通常在围产期出现的良性乳腺肿瘤。其病因、发病机制、最佳诊断方式及治疗方法在文献中尚不清楚。我们报告一例32岁的孕妇，她在怀孕前就存在左侧乳腺病变，此次因病变逐渐增大再次转诊至我院，经检查发现是一个巨大的泌乳性腺瘤。
怀孕和哺乳期女性应保持乳房自检意识，每月进行乳房自我检查，以便早期发现任何异常。在缺乏识别泌乳性腺瘤的特异性超声特征时，包括核心活检在内的三联评估是诊断的主要方法。泌乳性腺瘤，尤其是那些可能与既往乳腺病变相关或体积较大的腺瘤，应予以报告，以便制定循证管理指南。
