Concluded Case

Organised Galactocele- Management

27 years old post - caesarean lactating mother complains of a vague swelling right breast 25 days lactating .Mild tenderness . Mammography shows BIRADS - 3 - organised galactocele . Treatment of organised galactocele

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It may be normal/disappear with continuous breast feeding....and mild massage on the site during breast feeding self or by nurse....as it's BI-RADS 3.... Chance of complications are very less...to be managed with Antibiotic, Analgesic if necessary..but after 6 months a complete evaluation to be done by USG, MAMMOGRAPHY,MRI,FNAC, BIOPSY....
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Organised galactocele BIRADS III presenting with a tender lump having milk which is sterile as no chance of contamination as ducts are blocked. BIRADS III. No chance of malignancy except 2% chance to develope malignancy. Tetetment. Aseptic aspiration or excision of cyst with a follow up with images for 6 months Antibiotic broad spectrum to prevent secondary infection.
It may be normal/disappear with continuous breast feeding....and mild massage on the site during breast feeding self or by nurse....as it's BI-RADS 3.... Chance of complications are very less...to be managed with Antibiotic, Analgesic if necessary..but after 6 months a complete evaluation to be done by USG, MAMMOGRAPHY,MRI,FNAC, BIOPSY....
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In Organised galactocele fluid is thicker and more consistent. In case of true discomfort galactocele to be drained through fine needle aspiration. This aspiration of fluid is diagnostic as well as therapeutic. Prophylactic antibiotic and analgesic to be given
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SUGGESTIVE OF BIRADS. III.... .......ORGANISED GALACTOCELE..... ADVISABLE... ASEPTIC. ASPIRATION ANTIBIOTICS ANALGESIC USG..... FOLLOW UP FNAC...... BIOPSY MAMMOGRAM
Erythromycin/Amoxyclavunate With Metronidazole. Cap.Evion-400 mg. Follow up Mamography in 6 month Biopsy If Needed.
Mostly it is physiological when it is persistent And continuous then need to evaluate and need antibiotic course In general with feeding it resolves on its own