I have seen this as a sequel to repeated aspirations of women with a
breast abscess with no significant necrosis. Plus with a woman who had
granulomatous mastitis and was breastfeeding. The necrosis was
significant for this woman.
Gwen
Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
email: [log in to unmask]
>>> [log in to unmask] 18/03/2009 4:13:21 pm >>>
Permission to post. First time mom exclusively breastfeeding 3 1/2 mo
old
baby. 2 mo ago noted grape sized plugged duct. Mom used all the
measures
typically recommended for clearing plugged ducts. Saw OB, sent her for
US.
US said solid mass. Sent to mammogram after diagnosis of solid mass.
Mammogrram said not solid but liquid and after the mammogram the lump
grew
to 3 cm, probably from the pressure of the machine. Grrr. Then to
breast US,
diagnosed galactocele and needle aspiration of 50 ml milk. Could not
clear
gelatinous residual. One week later, resumed same size as before
aspiration.
Surgeon wanted to wait on it. Finished a course of dicloxacillin. Two
weeks
later, felt very full again and surgeon needle aspirated 77 ml.
Two days ago, reported rupture through the outer side of her right
breast,
leaking milk and blood through a 2-3 mm hole. Mom reports the area
before
rupture became red, then purple, then 3 small reddened areas appeared
and
one of them opened up.
Possible tissue necrosis in the skin from pressure of the cyst? No
fever, no
pus, no pain. Continues successfully BF. Going tomorrow to Breast US
surgeon
for follow up/treatment. Has small bandage over hole and changes breast
pad
every feed, with 3 cm spot of blood and milk. During daily shower, she
pushes the cyst empty as much as possible. Went over scrupulous
handwashing,
changing bandage and breast pad each feed.
Has any one seen this before? Any comments/wisdom to share?
Than you -
Marie Farver
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