occasional discharge of milk from left breast

36 yr old lady suffering from breast heavyness and milky white discharge since 15 days. no tenderness or lump seen. . total hysterectomy done 9 months before due to DUB . . having two children by normal delivery. . constitution:- Obese with DARK complexion. housewife,workaholic. . All investigations are Normal including thyroid except prolactin ☝ . Whts the condition we called it? How to manage it? any investigations required? further evaluation? possible remedies?

24 year /Female unmarried c/o-Breast tenderness and milky discharge from Breast since one and off 8month. her menses are reqular. (No any other past illness). Attaching Report Respected dr.plzz comment.

15 y girl huge enlargement of the right breast since 2_3 months. 6_7 ml fluid aspirated

TIME TO REFRESH. ..!! MAY BE USEFUL. .... CAUSES OF RAISED PROLACTIN ..the 'P's

Pituitary Adenoma and Hyperprolactinemia Accompanied by Idiopathic Granulomatous Mastitis A thirty-nine-year-old single patient with no children and no history of oral contraceptive use was admitted to our clinic with complaints of redness, pain, and swelling in her left breast (Figure 1). She had no additional illness or complaints (BMI: 33.3). She was a tobacco user (5–10 units/day), within the normal weight category, and had three gravidity. Breast ultrasound revealed irregular limited solid heterogeneous hypoechoic mass lesions suspicious for malignancy; the largest one was 16 mm in diameter. There were no lymph nodes in the left axilla. The mass was categorized BIRADS-4 in breast ultrasonography. Breast MRI revealed heterogeneous enhancement with 3.5 × 5 cm of inflammatory area at the left breast upper outer quadrant. Biopsy was recommended for differential diagnosis of inflammatory breast cancer (Figure 2). Serum C reactive protein (CRP) was high (12.4 mg/l), sedimentation rate was high (37 mm/h), and CA 125 and CA 15-3 levels were normal. Gram (+) cocci were observed in the breast abscess stain; however, abscess culture results were negative. IGM was diagnosed with core biopsy examination (Figure 3). The breast abscess was drained and steroids were given for two months (Prednol 4 mg/day/oral and 0.1% betamethasone pomade) and empiric antibiotics (cefuroxime axetil 500 mg tablets 2 × 1) were given during treatment for ten days. After two months of treatment, there was no improvement. Therefore, body serum hormone profiles were examined. Growth hormone, insulin-like growth factor, thyroid stimulating hormone, estradiol, luteinizing hormone, and follicle-stimulating hormone were normal. However, serum prolactin was elevated (351 ng/ml). Pituitary MRI revealed a 7 × 4 mm sized microadenoma causing pituitary prolactinoma (Figure 4). In order to treat hyperprolactinemia, prolactin inhibitor (Cabergoline) was given to the patient. Cabergoline was started at 1 mg per week; then it increased for six weeks. After prolactin levels returned to normal, it was reduced. Cabergoline treatment was continued for two years. Prolactin levels returned to normal and there was resolution of IGM after 4 months. Follow-up included monitoring of CRP levels. No recurrences were observed during a four-year follow-up period. Read complete discussion at: https://www.hindawi.com/journals/crie/2017/3974291/