Giant Lactant Adenoma: About a Case
- 1 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 2 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 3 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 4 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 5 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 6 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 7 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 8 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 9 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 10 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 11 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 12 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 13 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 14 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 15 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
- 16 Resuscitation Anesthesia Department, CHU Gabriel Touré, Bamako, Mali
- 17 Resuscitation Anesthesia Department, CHU Gabriel Touré, Bamako, Mali
- 18 General Surgery Department, CHU Gabriel Touré, Bamako, Mali
Abstract
Affecting young women, lactating adenoma is a rare benign tumor of the breast. It is seen mainly in the third trimester of pregnancy and in the postpartum period. Clinically, it is a solid mass, mobile typically benign but its character of rapid evolution is reminiscent of phyllodes tumors, sarcomas and galactoceles. The definitive diagnosis is histological. We report a case of lactating adenoma in a 26-year-old lactating woman, third procedure, second pare, with a history of tumor resection of the outer quadrants of the left breast, 9 months ago, whose histology evoked a fibrotic disease , cystic breast associating non-specific subacute mastitis with suppuration. Received for recurrence of a tumor in the left breast which was the site of a polylobed mass of about 10/5 cm occupying 3/4 of the breast with mobile ipsilateral axillary adenopathies. A micro tru-cut biopsy was performed and the histology was in favor of a lactating breast adenoma with no signs of malignancy. She underwent surgical excision, the consequences of which were simple.
- Kouach, J., El Hassani, M., Babahabib, A., Guelzim, K., Zazi, A., Moussaoui Rahali, D., et al. (2008) Adénome lactant éctopique: Aspects radiologiques. Imagerie de la Femme, 18, 35-37. https://doi.org/10.1016/S1776-9817(08)71698-5
- Reeves, M.E. and Tabuenca, A. (2000) Lactating Adenoma Presenting as a Giant Breast Mass. Surgery, 127, 586-588. https://doi.org/10.1067/msy.2000.102603
- Mayank, J. and Mukesh, S. (2006) Giant Lactating Adenoma of Breast. Bombay Hospital Journal, 48.
- Magno, S., Terribile, D., Franceschini, G., Fabbri, C., Chiesa, F., Di Leone, A., et al. (2009) Early Onset Lactating Adenoma and the Role of Breast MRI: A Case Report. Journal of Medical Case Reports, 3, Article No. 43. http://www.jmedicalcasereports.com/content/3/1/43 https://doi.org/10.1186/1752-1947-3-43
- Kouach, J., Babahabib, A., El Hassani, M., Hafidi, R., Moussaoui, R.D. and Dehayni, M. (2010) Adénome lacatant géant. Practical Obstetrics Gynecology, 230, 7-8.
- Hertel, B.F., Zaloudek, C. and Kempson, R.L. (1976) Breast Adenomas. Cancer, 37, 2891-2905. https://doi.org/10.1002/1097-0142(197606)37:6 3.0.CO;2-P
- Eid, S., Dos Santos, E., Boisserie-Lacroix, M., Grelet, P.H. and Rivel, J. (2001) Adénome lactant: Aspect radiologiques. À propos d’un cas. Journal of Radiology, 82, 264-267.
- Slavin, J.L., Billson, V.R. and Ostor, A.G. (1993) Nodular Breast Lesions during Pregnancy and Lactation. Histopathology, 22, 481-485. https://doi.org/10.1111/j.1365-2559.1993.tb00162.x
- Zafrani, B. and Vincent-Salomon, A. (2000) Lésions et tumeurs bénignes du sein. Annals of Pathology, 20, 570-587.
- Sumkin, J.H., Perrone, A.M., Harris, K.M., Nath, M.E., Amortegui, A.J. and Weinstein, B.J. (1998) Lactating Adenoma: US Features and Literature Review. Radiology, 206, 271-274. https://doi.org/10.1148/radiology.206.1.9423682