Carolyn Zara writes>>
Her husband, the Radiologist, has several times aspirated fluid by needle
from this area of the breast which continued to drain through the skin after
the needle was removed.  She said her breast felt better for a couple of days
and then the nodule and terrible pain returned so he apirated again with
relief for several days but again there was return of these bothersome
symptoms. Her husband performed an ultrasound on her breast which she
decribed as "showing some big dark cavernous holes, one of which was
particularly large."  She had no other information about the ultrasound.<<

I think an assessment of a galactocele is correct in this situation. The
walls of the duct were probably stretched with the first baby and resulting
mastitis. Now with this baby, the area is filling up again.  The plugged pore
sounds like a sore nipple healed and left a small flap of skin over the duct
that drains that area of the breast. Which appears to complicate the picture.
 In a case like this I might suggest that she attempt to *dry up* that area
of the breast. Leave the nipple pore alone and apply ice packs to the
affected area. It will take several weeks before she is pain free, but she
should have some relief in a few days. I have done this successfully
following injuries to the breast or an area where a duct was severed during a
breast biopsy.  The milk is not removed and is  reasorbed.
What scares the c--- out of me is that the area has been repeatedly
aspirated- The risk of introducing bacteria into an otherwise sterile area
and causing an abscess. (Don't these guys think of that?) If the milk that
was aspirated through the needle was thin there's a chance the baby could get
it out. But if it was thick--it might be better to leave it alone.
What the *experts* suggest sounds very painful.  IMHO maybe this is a guy who
sees his wife in pain and has to DO something.
So sorry that she did not get to see you.
Marie Davis