----------
> From: Trudi <[log in to unmask]>
> To: Karen Forsthoff <[log in to unmask]>
> Subject: Re: Tender breast mass
> Date: Friday, 6 September 1996 10:36
>
> Karen I hope everything went well for you today.
>
> I had a similar experience whilst pregnant with my 2nd daughter.  At 34.5
> weeks I spontaneously developed a slightly tender lump on the medial
aspect
> of my left breast.  There was no history of trauma etc and the only
> relevant occurrence was that my weaned 2 and a half year old had asked
for
> a breastfeed 2 days prior.  She had not breastfed for around 4 months but
> attached (not very well!!) and after about 1 min came off and said that
it
> tasted funny.
>
> I tried massage etc with no success and a few days later consulted my
local
> LC who is also a homeopath.  I was afebrile and the lump was only tender
if
> touched. The lump was mobile and seemed to change shape with vigorous
> massage although I could express nothing.  We were both unsure so I
> continued to massage and attempt expressing until I went into labour a
few
> days later at 35.5 weeks.
>
> After an exciting 4 hour vaginal breech develivery, daughter 2 (Amanda)
> attached well and suckled vigorously.  Within 2 days the lump had become
> more painful but the size had not changed.  So at around 10 days
following
> discovery of the lump I underwent needle aspiration under ultrasound
> control (uncomfortable but not painful) and a copious amount of pus was
> aspirated which later grew staph.
>
> The next day I had a formal incision and drainage of the abscess under GA
> and apart from initial milk leaking from around the wound there were no
> more problems.  Interestingly I always seemed to have a greater output
from
> this breast with my first lactation, but now the right breast appears to
> produce more.
>
> The common denominators in our stories appear to be that an older child
was
> feeding and that the lumps were mobile and slightly tender and that we
were
> afebrile.
>
> Does anyone have any comments?  Are abscesses common in pregnancy or
during
> weaning?  Any idea of possible causes?
>
> Trudi Szallasi, RN, NMAA Breastfeeding Counsellor
> Queensland, Australia
> (and recent addition to the Lactnet addicts society!)
> ----------
> > From: Karen Forsthoff <[log in to unmask]>
> > To:
> > Subject: Tender breast mass
> > Date: Thursday, 5 September 1996 2:30
> >
> > Dear Lactnetters,
> >
> > I am slowly weaning my third breastfed child, who is now four years
old,
> and
> > over the last few months I've noticed a tender left breast mass lateral
> to
> > the nipple. I took antibiotics for seven days which seemed to help
> > temporarily. The tenderness seems to increase around menstrual periods.
> >
> > My gynecologist feels  a mobile lump and has ordered a mammogram for
this
> > Friday.  She will consider ultrasound and/ or aspiration after the
> mammogram.
> >
> >
> > My concerns are : 1. How conclusive is a mammogram in my situation and
> should
> > I find a specialist familiar with the lactating breast to read it?  2.
> Could
> > this be a galactocele, abcess, cyst or fibroadenoma, and how are these
> best
> > diagnosed?
> >
> > I am interested in hearing from anyone who has experience with a
> situation
> > like this. Thanks!!
> >
> > Karen Forsthoff BA IBCLC
> > [log in to unmask]
> >