Giant lactating adenoma
ABSTRACT Lactating adenoma is a rare benign breast lesion that most often presents as a small (up to 3 cm), solid, well-circumscribed, solitary, painless, mobile, lobulated mass. The highest incidence occurs in primiparous women (20 to 40 years old) during the third trimester of pregnancy. However, in the rare case presented herein, in addition to its giant size (more than 10 centimeters on palpation), this lactating adenoma is distinctive due to the presence of multiple nodules, poorly defined ultrasonographic margins, worrisome radiologic features, growth since early pregnancy, presence of infarction and association with chronic mastitis. From the clinical-radiologic perspective, the differential diagnoses included abscess associated with puerperal mastitis, phyllodes tumor, and galactocele. Biopsy was performed, and pathologic examination revealed the classic characteristics of lactating adenoma with multiple infarcted areas, leading to an unexpected confirmed case of giant lactating adenoma.
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Hospital Universitário da Universidade de São Paulo
2021
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oai:scielo:S2236-196020210001007212021-04-15Giant lactating adenomaMoulaz,Isac RibeiroOliveira,Fernanda Sales Soares deSilva,Eveline Cristina daMachado,Janine MartinsSantos,Maria Carmen Lopes Ferreira Silva Lactation Disorders Breast Breast neoplasms ABSTRACT Lactating adenoma is a rare benign breast lesion that most often presents as a small (up to 3 cm), solid, well-circumscribed, solitary, painless, mobile, lobulated mass. The highest incidence occurs in primiparous women (20 to 40 years old) during the third trimester of pregnancy. However, in the rare case presented herein, in addition to its giant size (more than 10 centimeters on palpation), this lactating adenoma is distinctive due to the presence of multiple nodules, poorly defined ultrasonographic margins, worrisome radiologic features, growth since early pregnancy, presence of infarction and association with chronic mastitis. From the clinical-radiologic perspective, the differential diagnoses included abscess associated with puerperal mastitis, phyllodes tumor, and galactocele. Biopsy was performed, and pathologic examination revealed the classic characteristics of lactating adenoma with multiple infarcted areas, leading to an unexpected confirmed case of giant lactating adenoma.info:eu-repo/semantics/openAccessHospital Universitário da Universidade de São PauloAutopsy and Case Reports v.11 20212021-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602021000100721en10.4322/acr.2021.252 |
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Moulaz,Isac Ribeiro Oliveira,Fernanda Sales Soares de Silva,Eveline Cristina da Machado,Janine Martins Santos,Maria Carmen Lopes Ferreira Silva |
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Moulaz,Isac Ribeiro Oliveira,Fernanda Sales Soares de Silva,Eveline Cristina da Machado,Janine Martins Santos,Maria Carmen Lopes Ferreira Silva Giant lactating adenoma |
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Moulaz,Isac Ribeiro Oliveira,Fernanda Sales Soares de Silva,Eveline Cristina da Machado,Janine Martins Santos,Maria Carmen Lopes Ferreira Silva |
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Moulaz,Isac Ribeiro |
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Giant lactating adenoma |
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Giant lactating adenoma |
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Giant lactating adenoma |
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Giant lactating adenoma |
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Giant lactating adenoma |
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giant lactating adenoma |
description |
ABSTRACT Lactating adenoma is a rare benign breast lesion that most often presents as a small (up to 3 cm), solid, well-circumscribed, solitary, painless, mobile, lobulated mass. The highest incidence occurs in primiparous women (20 to 40 years old) during the third trimester of pregnancy. However, in the rare case presented herein, in addition to its giant size (more than 10 centimeters on palpation), this lactating adenoma is distinctive due to the presence of multiple nodules, poorly defined ultrasonographic margins, worrisome radiologic features, growth since early pregnancy, presence of infarction and association with chronic mastitis. From the clinical-radiologic perspective, the differential diagnoses included abscess associated with puerperal mastitis, phyllodes tumor, and galactocele. Biopsy was performed, and pathologic examination revealed the classic characteristics of lactating adenoma with multiple infarcted areas, leading to an unexpected confirmed case of giant lactating adenoma. |
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Hospital Universitário da Universidade de São Paulo |
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2021 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602021000100721 |
work_keys_str_mv |
AT moulazisacribeiro giantlactatingadenoma AT oliveirafernandasalessoaresde giantlactatingadenoma AT silvaevelinecristinada giantlactatingadenoma AT machadojaninemartins giantlactatingadenoma AT santosmariacarmenlopesferreirasilva giantlactatingadenoma |
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