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Subject:
From:
Nancy Mohrbacher <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 6 Jun 2014 21:14:20 -0500
Content-Type:
text/plain
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Sorry for using an acronym without defining it. Several Lactnetters 
wrote to me privately for clarification. BAMS is short for my big 
counseling guide, Breastfeeding Answers Made Simple (2010),which you can 
find at this link 
<http://www.amazon.com/Breastfeeding-Answers-Made-Simple-Helping/dp/0984503900/ref=sr_1_1?ie=UTF8&s=books&qid=1289088059&sr=1-1>.

Best,
Nancy Mohrbacher, IBCLC, FILCA
Chicago suburbs
www.NancyMohrbacher.com <http://www.nancymohrbacher.com/>

BAMS has a section with references about galactoceles. Lawrence and Lawrence say they can be aspirated but usually fill up again, as happened with the mother you mention. They say galactoceles can be removed surgically under local anesthesia without weaning. This is from BAMS (p. 701):

"To avoid surgery, fine-needle aspiration, using a local anesthetic, can usually be done in a healthcare provider’s office or clinic, which allows the contents of the cyst to be removed and its contents checked.   Once a galactocele is confirmed, if it is not painful or growing, nothing need be done.

"Preliminary Thai research on 16 women with galactoceles indicates that using a nylon probe to remove the obstruction in the milk duct causing the galactocele can reduce the incidence of recurrence (Auvichayapat et al., 2003).   In this study, none of the 11 women whose galactocele was treated with the nylon probe had a recurrence, whereas 2 of the 5 who were treated with fine-needle aspiration had a recurrence."

Auvichayapat, P., Auvichayapat, N., Tong-un, T., Thinkhamrop, B.,Vachirodom, D., & Uttravichien, T. (2003). A controlled trial of a new treatment for galactocele. /J Med Assoc Thai, 86/(3), 257-261.

I checked PubMed and didn't see anything more recent that might be helpful in this case. Not a lot of research has been done on galactoceles. Best of luck!



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