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Delayed involution of lactation presenting as a non-resolving breast mass: a case report.

Kumar Y, Chahal A, Garg M, Bhatia A, Mahajan NC, Ganju A - J Med Case Rep (2008)

Bottom Line: Histopathology, however, revealed involuting lactational changes.To the best of our knowledge, lactational involution with such a presentation has not been described in the English literature.The case needs to be reported so that this entity can be considered among the differential diagnoses of breast masses in a lactating patient.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathology, Maharshi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala Haryana, India. ykabh@hotmail.com

ABSTRACT

Introduction: Involution of lactation is a physiological process. Rarely, it may be delayed and troublesome for the lactating woman. Though lactation-induced changes in breast are well known, morphological features of delayed involution are not clear.

Case presentation: We report a case of a 22-year-old lactating mother who presented with a painful, non-resolving breast mass 5 months after delivery. Clinically, it simulated an inflammatory carcinoma. Histopathology, however, revealed involuting lactational changes.

Conclusion: To the best of our knowledge, lactational involution with such a presentation has not been described in the English literature. The case needs to be reported so that this entity can be considered among the differential diagnoses of breast masses in a lactating patient.

No MeSH data available.


Related in: MedlinePlus

Gross photograph of the specimen removed in piecemeal. The cut surface shows multiple well circumscribed nodules some of which are confluent. These nodules are solid and yellowish in colour and are separated by thick translucent areas.
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Figure 1: Gross photograph of the specimen removed in piecemeal. The cut surface shows multiple well circumscribed nodules some of which are confluent. These nodules are solid and yellowish in colour and are separated by thick translucent areas.

Mentions: Grossly, the specimen was received in the form of multiple irregular tissue pieces measuring 0.8 × 08 × 1.0 cm to 4.0 × 2.5 × 1.5 cm in size. The outer surface was lobulated and the cut surface showed multiple yellowish, soft nodules ranging from 0.3 to 1.0 cm in diameter. The margins of each nodule were circumscribed and well demarcated from the surrounding stroma. The adjacent areas were whitish and translucent (Figure 1).


Delayed involution of lactation presenting as a non-resolving breast mass: a case report.

Kumar Y, Chahal A, Garg M, Bhatia A, Mahajan NC, Ganju A - J Med Case Rep (2008)

Gross photograph of the specimen removed in piecemeal. The cut surface shows multiple well circumscribed nodules some of which are confluent. These nodules are solid and yellowish in colour and are separated by thick translucent areas.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2572069&req=5

Figure 1: Gross photograph of the specimen removed in piecemeal. The cut surface shows multiple well circumscribed nodules some of which are confluent. These nodules are solid and yellowish in colour and are separated by thick translucent areas.
Mentions: Grossly, the specimen was received in the form of multiple irregular tissue pieces measuring 0.8 × 08 × 1.0 cm to 4.0 × 2.5 × 1.5 cm in size. The outer surface was lobulated and the cut surface showed multiple yellowish, soft nodules ranging from 0.3 to 1.0 cm in diameter. The margins of each nodule were circumscribed and well demarcated from the surrounding stroma. The adjacent areas were whitish and translucent (Figure 1).

Bottom Line: Histopathology, however, revealed involuting lactational changes.To the best of our knowledge, lactational involution with such a presentation has not been described in the English literature.The case needs to be reported so that this entity can be considered among the differential diagnoses of breast masses in a lactating patient.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathology, Maharshi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala Haryana, India. ykabh@hotmail.com

ABSTRACT

Introduction: Involution of lactation is a physiological process. Rarely, it may be delayed and troublesome for the lactating woman. Though lactation-induced changes in breast are well known, morphological features of delayed involution are not clear.

Case presentation: We report a case of a 22-year-old lactating mother who presented with a painful, non-resolving breast mass 5 months after delivery. Clinically, it simulated an inflammatory carcinoma. Histopathology, however, revealed involuting lactational changes.

Conclusion: To the best of our knowledge, lactational involution with such a presentation has not been described in the English literature. The case needs to be reported so that this entity can be considered among the differential diagnoses of breast masses in a lactating patient.

No MeSH data available.


Related in: MedlinePlus