Hagen Krista, Wieland Ruth, Read Rebecca L
Canberra Hospital, Garran, Australian Capital Territory, Australia
Canberra Hospital, Garran, Australian Capital Territory, Australia.
BMJ Case Rep. 2024 Feb 6;17(2):e259290. doi: 10.1136/bcr-2023-259290.
Fibroadenomas are the most common breast lesion in women of reproductive age. During pregnancy and lactation, fibroadenomas can undergo rapid growth in response to hormonal stimulus. These changes may prompt further investigation and/or intervention due to the risk of an underlying phyllodes tumour. We present a case of a female patient who underwent surgical excision of a giant fibroepithelial lesion at 4 months post partum while continuing to breastfeed. The lesion was successfully excised while maintaining lactation. A postoperative milk fistula resolved with non-operative management. There is limited literature on the surgical management of breast lesions in lactating women. This case illuminates the surgical management of breast lesions in an often well informed group of patients who may choose to have surgery while lactating in spite of the increased risk of complications. This case also highlights the need for a holistic approach to maintain the overall health of mother and child.
纤维腺瘤是育龄期女性最常见的乳腺病变。在妊娠和哺乳期，纤维腺瘤可因激素刺激而迅速生长。由于存在潜在叶状肿瘤的风险，这些变化可能促使进一步检查和/或干预。我们报告一例女性患者，她在产后4个月行巨大纤维上皮性病变手术切除，同时继续母乳喂养。病变成功切除，且维持了泌乳。术后乳瘘经非手术治疗得以解决。关于哺乳期妇女乳腺病变手术治疗的文献有限。该病例阐明了在一群通常信息充分的患者中乳腺病变的手术治疗，这些患者尽管并发症风险增加，但可能选择在哺乳期进行手术。该病例还强调了采取整体方法以维持母婴整体健康的必要性。
