An unusual case of galactorrhea in a postmenopausal woman complicating breast reduction
Department of Plastic and Reconstructive Surgery, City Hospital Birmingham, Dudley Road, Birmingham B18 7QH, UK.Journal of Plastic Reconstructive & Aesthetic Surgery (Impact Factor: 1.42). 12/2007; 62(4):542-6. DOI: 10.1016/j.bjps.2007.10.019
Galactorrhea is a relatively common condition, but has rarely been seen following breast reduction surgery. To date there are only seven cases reported in the literature, all in premenopausal women. Postsurgical galactorrhea is a diagnosis of exclusion and differential diagnosis is extensive. Common causes should be excluded first. We present the case of a 56-year-old postmenopausal woman who underwent bilateral breast reduction and developed galactorrhea 2 months postoperatively. MRI scan of the skull as well as Thyroid-Stimulating Hormone (TSH), prolactin levels were normal. She was on long-term hormonal replacement therapy. Because of suspected nerve-related pain in her right breast she was commenced on amitriptyline. We hypothesise that galactorrhea may have been caused by underlying neuroma or irritation of the anterior branch of the T4 intercostal nerve or hormonal replacement therapy or a combination of both.
- Journal of burn care & research: official publication of the American Burn Association 07/2009; 30(4):757. DOI:10.1097/BCR.0b013e3181ac0561 · 1.43 Impact Factor
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ABSTRACT: Galactorrhea is a rare event after breast augmentation. The physiopathologic bases of galactorrhea depend on the central secretion of prolactin. These physiopathologic bases must be clearly understood for the prevention and treatment of postoperative galactorrhea. This report describes two cases of a postoperative galactorrhea after aesthetic breast augmentation with silicone implants. The clinical appearance closely resembles a postoperative sepsis without hyperthermia. Bacteriologic samples are negative. Endocrinologic examination finds a characteristic hyperprolactinemia. The evolution is favorable under dopaminergic agonists.Aesthetic Plastic Surgery 10/2010; 35(3):408-13. DOI:10.1007/s00266-010-9595-6 · 0.96 Impact Factor
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ABSTRACT: Galactorrhea and galactoceles are relatively uncommon complications after breast augmentation surgery, but should be considered in the differential of an enlarged breast. We present a case of a 34-year-old woman who had a remote history of bilateral breast augmentation and developed a unilateral galactocele while breast-feeding. She subsequently underwent an incision and drainage, as well as medical management with bromocriptine. Her galactocele resolved adequately with this treatment. Surgeons performing breast augmentation should be aware of the clinical presentation as well as the treatment options for this entity.Annals of plastic surgery 02/2011; 67(6):668-70. DOI:10.1097/SAP.0b013e3182069b3c · 1.49 Impact Factor
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