Have you thought about referring her to interventional radiologist for
suggestions? I work in an OB/GYN practice and we have found interventional
radiologist are very breastfeeding friendly...at least the ones in my area
(Tifton, GA) are breastfeeding friendly.

Dina Herren, FNP-C
(Sit for my IBCLC boards in July)

On Wed, May 6, 2015 at 8:31 AM, Holly McSpadden <[log in to unmask]>
wrote:

> Galactocele?
>
> Holly McSpadden, IBCLC
>
> Sent from my iPhone
>
> > On May 6, 2015, at 7:57 AM, Kathleen Bruce <[log in to unmask]> wrote:
> >
> > Hi all. Good morning.  I have a case study to present, and welcome any
> > information or experience you might be able to share with me, as I am a
> bit
> > stumped. I've been an IBCLC since 1993 and have been working with bf
> > mothers in my area in Vermont, and over the world as an online LC, and
> here
> > as the Lactnet dreamer upper for donkey years.
> >
> > In any case, here's the info, permission to share:
> >
> > 30 year old first time mom. Nursing active 12 month old. Lots of nursing
> at
> > night, not so much during day.(too busy is the baby). : )
> >
> > Mother has had a few bouts of mastitis, one lately that stemmed from a
> > 2x2x2cm lump close to her chest wall. Mother is slight frame, and has
> large
> > D breasts.  The lump is deep in there. Heat, massage, extra nursing did
> not
> > help. Was treated with round of antibiotics. Upon completion of Diclox
> > round, the lump was still there.
> >
> > Mother very concerned. Saw breast surgeon, who did not have vast
> knowledge
> > of the lactating breast, but who did ultrasound it. She has a mass of
> > hardened milk, he thought. No needle biopsy. Did not appear to be cancer,
> > or an abscess.  Has anyone heard of this large an area of hardened milk?
> >
> > What to do with this? She is nervous that it will turn into an abscess,
> and
> > is doing her best to keep heat on it and to breastfeed as much as a break
> > nursing toddler will allow.
> >
> > Thoughts please.  Thank you .  Kathleen Bruce RN IBCLC Please email me
> > directly as well as to Lactnet.  [log in to unmask]
> >
> > ​Kathleen B. Bruce
> > RN IBCLC
> > N. Vermont, USA
> > Lactnet Inventor, 1995 ​
> > [log in to unmask]
> >
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