Is this her first baby?

If she had mastitis in that breast with a prior baby, I would guess it is a
galactocele.  It also could be an abscess.

I recently had a mom with an abscess, that the U/S said was not a fluid
collection.  I begged the radiologist to stick a needle in it anyway, and
she got 2 oz pus out.  Abscesses are USUALLY tender, but not always.  A
couple years back we had a mom with a recalcitrant mass begind the
areola...turned out it was an abscess.  Did not know until it was "biopsied"
with a needle, and continued to drain pus after mom went home.

I recently saw a prenatal abscess that was not red or tender until after
delivery.


Kathy Leeper, MD, IBCLC
Medical Director, MilkWorks
Lincoln, NE

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