Galactocele of the breast recent updates: Review

• Author Details:   
• Sunil Vitthalrao Jagtap ^*
• Shubham S. Jagtap
• Neha Nanaji Ghadge
• Dhara Dhodia
• Abhilasha S. Jadhav
• Shivani Vaijanathrao Khillare

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Galactoceles are benign, milk filled cysts related to lactation cause by a persistent obstruction of the lactiferous duct. On clinico histopathology it is characterised by triad of secretory breast epithelium, prolactin stimulus and ductal obstruction results in cyst formation. A 25 years old female was referred to our hospital with the chief complaint of a non-tender, oval, left breast lump since one year duration with now as sudden increase in size. History of child breast feeding of two years. On local examination, well-circumscribed, round, fluctuating, lump measuring 4 x 2.5 cm in 5-7 o’clock position was noted. Sonomammographic differentials diagnosis of? fibroadenoma with cystic changes, galactocele versus cyst? lactational adenoma (BIRADS-IVa) were suggested. The color Doppler evaluation demonstrated no vascularity within the mass or surrounding breast tissue. FNAC Left breast lump reported as suggestive of fibroadenoma with lactational changes. Patient underwent left breast lump excision. On microscopy showed breast tissue with dilated anastomosing channels lined by cuboidal epithelium. Multiple variable sized cysts lined by cuboidal or flat epithelial cells were noted. The cyst are linned by epithelium having regular nuclei with cytoplasmic vacuolations, reported as Galactocele left breast. Galactocele shows the triad of secretory breast epithelium, prolactin stimulation, and ductal blockage. The galactocele is benign and treatable lesions. The complicated case poses a diagnostic dilemma and a therapeutic challenge. 

Keywords: Galactocele breast, Retention cyst, Lacteal cyst, Milk cyst.