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Breast Is Inverted, Have Big Lump Under Nipple And Milky Fluid Comes From Nipple. What Are The Complications?

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Posted on Tue, 28 Aug 2012
Question: Hi I'm a 28 year old female my left breast is inverted and I have a big lump under my nipple and I'm losing clear sometimes milky like fluid from both nipples and àround areolas I have wat look like milk spots what could this be from?
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Answered by Dr. Mahesh Koregol (3 hours later)
Hi,

Thanks for your query.

I have read your query & I understand your concerns.

From what you describe the lump appears to be a galactocele. Galactocele is a collection of milk and turning into a cyst.

But this condition is most commonly seen in lactating women. It is unlikely in you as you had a baby in 2004. So there are only 2 possibilities left:

1) Old galactocele which was symptomless till now and now it is showing symptoms.

2) Present hormonal imbalance ( raised serum prolactin hormone secretion) leading to the problem.

3) Therefore I suggest you get serum prolactin hormone tested before seeing a doctor. This test has to be done fasting. Hence go to the lab in morning in fasting for this test.

Please let me know the serum prolactin values. I would recommend you see a surgeon who will examine you and check if it is necessary to take a FNAC ( Fine needle aspiration Cytology) or biopsy as there a small possibility of cancerous lesion ( dont worry its a small possibility).


I hope I answered your query. I will be available for any followup queries you have.

Regards,

Dr.Mahesh Koregol
IVF & Infertility Specialist.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3829 Questions

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Breast Is Inverted, Have Big Lump Under Nipple And Milky Fluid Comes From Nipple. What Are The Complications?

Hi,

Thanks for your query.

I have read your query & I understand your concerns.

From what you describe the lump appears to be a galactocele. Galactocele is a collection of milk and turning into a cyst.

But this condition is most commonly seen in lactating women. It is unlikely in you as you had a baby in 2004. So there are only 2 possibilities left:

1) Old galactocele which was symptomless till now and now it is showing symptoms.

2) Present hormonal imbalance ( raised serum prolactin hormone secretion) leading to the problem.

3) Therefore I suggest you get serum prolactin hormone tested before seeing a doctor. This test has to be done fasting. Hence go to the lab in morning in fasting for this test.

Please let me know the serum prolactin values. I would recommend you see a surgeon who will examine you and check if it is necessary to take a FNAC ( Fine needle aspiration Cytology) or biopsy as there a small possibility of cancerous lesion ( dont worry its a small possibility).


I hope I answered your query. I will be available for any followup queries you have.

Regards,

Dr.Mahesh Koregol
IVF & Infertility Specialist.