Breast lesions during pregnancy and lactation: a pictorial essay

Lee, Seung Eun; Bae, Young Kyung

doi:10.14366/usg.19070

Cited by 18 publications

(18 citation statements)

References 18 publications

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“…To aid in facilitating these changes, the vascularity of the breast also increases. These associated physiologic changes complicate imaging by increasing mammographic density and the increase in breast volume, rmness, and nodularity complicate physical exam [28][29][30]. It is possible that the physiologic changes in the breast during pregnancy and lactation could affect the frequency postoperative complications in patients with PABC, as seen in the present study.…”

Section: Discussionmentioning

confidence: 84%

Postoperative Complications following Lumpectomy and Mastectomy in Women with Pregnancy Associated Breast Cancer

Chichura

ElSherif

Yao

et al. 2022

Preprint

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Purpose: This study aimed to delineate postoperative complications following lumpectomy and mastectomy in women with pregnancy associated breast cancer (PABC).Methods: This is a single institution retrospective study of 74 patients with PABC treated with lumpectomy (n=28) or mastectomy (n=46). Patient demographics, presentation, tumor characteristics, staging, genetic testing, and postoperative complications were recorded. Results: PABC was diagnosed in 74 patients; 28 (37.8%) were diagnosed with PABC during pregnancy (PABC-P) and 46 patients (62.2%) were diagnosed with postpartum PABC within the first 12 months after delivery (PABC-PP). The overall clinical stage distribution at diagnosis was: Stage 0, 6.9%; I, 18.1%; II, 47.2%; III, 22.2%; and IV, 5.6%, with no significant difference between PABC-P and PABC-PP (p=0.18). There was no significant difference in the rate of lumpectomy (25.0% vs 23.9%, p=0.92), mastectomy (75.0% vs 76.1%, p=0.92), sentinel lymph node biopsy (39.3% vs 52.2%, p=0.28), axillary dissection (14.3% vs 4.3%, p=0.19), or rate of immediate reconstruction (42.9% vs 65.7%, p = 0.094) performed in patients with PABC-P and PABC-PP, respectively. Contralateral prophylactic surgery was performed in 43.2% of patients (39.3% PABC-P vs 47.5% PABC-PP, p=0.59). Most (79.9%) patients did not experience any postoperative complications, regardless of whether they underwent lumpectomy or mastectomy (83.3% vs 78.6%, p=0.99) or if they had PABC-P or PABC-PP (89.3% vs 73.9%, p=0.11). There was a statistically significant difference in the rate of complications between PABC-P patients undergoing mastectomy with immediate reconstruction (n=0/9, 0%) as compared to the PABC-PP patients (n=9, 39%; p=0.035). Seroma was the most commonly observed complication after both lumpectomy and mastectomy (n=3 vs n=5, p=0.39). Conclusions: There was no increased risk of postoperative complications in women with PABC treated with lumpectomy as compared to mastectomy. There is an increased risk of postoperative complications in patients with PABC-PP treated with mastectomy and immediate reconstruction.

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Section: Discussionmentioning

confidence: 84%

Postoperative Complications following Lumpectomy and Mastectomy in Women with Pregnancy Associated Breast Cancer

Chichura

ElSherif

Yao

et al. 2022

Preprint

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“…Galactocele is the most common benign breast lesion in women who are lactating or recently stopped lactation. Galactocele is a milk-containing retention cyst in the lactiferous duct, originated from ductal obstruction ( 5 7 ). The imaging features of galactocele vary depending on variable amounts of fat, protein, and water contents in the cyst.…”

Section: Discussionmentioning

confidence: 99%

“…The imaging features of galactocele vary depending on variable amounts of fat, protein, and water contents in the cyst. On US, it manifests as simple or complicated cyst with variable internal echogenicity ( 5 8 ). In this case, galactocele occurred in retromammary, peri-implant area which is unusual location for galactocele.…”

Section: Discussionmentioning

confidence: 99%

“…Common imaging feature of BIA-ALCL is peri-implant effusion over 1 year after implant insertion ( 3 ). Although most of lesions in lactating or augmented breast are reported as benign diseases, malignancy associated with pregnancy or implant should be considered ( 3 5 ). Postpartum breast periimplant galactocele is rare disease entity as only one case has been reported ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Postpartum Galactocele in Augmented Breast after Using Breast Pump Mimicking Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report

Lee

Shin

Park

et al. 2021

J Korean Soc Radiol

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Post-partum galactocele is a common benign disease among breastfeeding women, whereas retromammary and peri-implant galactocele are relatively rare conditions. Herein, a 34-year-old, 1 month-postpartum female, who had augmentation mammoplasty and a 1-month history of breast pump use, presented with left breast enlargement for 2 weeks. An initial left breast US revealed hyperechoic peri-implant fluid collection. Additional US-guided fine needle aspiration was done using a 21G-needle, draining the milk component in the process, and cytologic results revealed numerous crystals, suggestive of galactocele. Various diseases, especially breast implant-associated anaplastic large cell lymphoma, can cause peri-implant fluid collection in an augmented breast. Thus, correlating imaging features with clinical information and cytologic analysis plays an important role in appropriate management.

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“…En estos casos se hace un seguimiento clínico e imagenológico de la paciente de manera que ante algún cambio sospechoso se puede hacer una biopsia para el diagnóstico histológico definitivo. Sin embargo, los riesgos de biopsias percutáneas durante el embarazo son hemorragias, infecciones y fístulas, por lo que el procedimiento debe estar bien justificado (4,11).…”

Section: Adenoma De La Lactanciaunclassified

Patología quirúrgica de la mama y su relación con la lactancia

Mora¹

2021

Gaceta Médica De Caracas

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Los hallazgos anatómicos e histológicos de las lesiones de mama asociadas al embarazo/lactancia y las dificultades diagnósticas son discutidas. Estas lesiones incluyen el adenoma de la lactancia, mastitis, absceso, galactocele, fibroadenomas, cáncer y metástasis. En muchos casos no difieren de los hallazgos de las pacientes no gestantes, sin embargo, otras específicas de la gestación tienen hallazgos clínicos y ultrasonográficos sospechosos y son necesarias biopsias para el diagnóstico diferencial entre benigno o maligno.

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Breast lesions during pregnancy and lactation: a pictorial essay

Cited by 18 publications

References 18 publications

Postoperative Complications following Lumpectomy and Mastectomy in Women with Pregnancy Associated Breast Cancer

Postoperative Complications following Lumpectomy and Mastectomy in Women with Pregnancy Associated Breast Cancer

Postpartum Galactocele in Augmented Breast after Using Breast Pump Mimicking Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report

Patología quirúrgica de la mama y su relación con la lactancia

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