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. 2020 Mar 18;7(5):001579.
doi: 10.12890/2020_001579. eCollection 2020.

Giant Lactating Adenoma - Size of a Shot Put Ball

Affiliations

Giant Lactating Adenoma - Size of a Shot Put Ball

Sherif Monib et al. Eur J Case Rep Intern Med. .

Abstract

Lactating adenomas are benign breast tumours which normally present in the peripartum period. Aetiology, pathogenesis, best diagnostic modality and management are not yet clear in the literature. We present a case of a 32-year-old pregnant patient who was re-referred to us with a progressively increasing left breast lesion, pre-existing prior to pregnancy, which was found to be a huge lactating adenoma.

Learning points: Pregnant and lactating women should stay breast aware and perform monthly breast self-examinations to detect any abnormalities at an early stage.In the absence of specific ultrasound features to identify lactating adenoma, triple assessment, including core biopsy, is the mainstay of diagnosis.Lactating adenomas, especially those potentially related to a pre-existing breast lesion or large in size, should be reported in order to develop evidence-based management guidelines.

Keywords: Benign breast disease; lactating adenoma; lactation; lactational adenoma.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
Left breast ultrasound scan showing a 13mm lesion at initial presentation (left) and a 93mm lesion during pregnancy (right)
Figure 2
Figure 2
Breast MRI scan showing a 130mm lactating adenoma (left T1, right T2)

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