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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could be the reasons for milk leaking from the breast post partial hysterectomy ?

i had a partial hysterectomy at 31 started leaking brest milk,nothing major now at 43 it is almost back fluid
Mon, 23 Jan 2012
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Pediatrician 's  Response
hello sandra,
is it from one side?
is there any underlying mass you feel on palpation?
consult surgeon or gynecologist. you may need mammography and if mass is there then fnac may be needed.its difficult to give diagnosis without examination and investigation.it may be papilloma or duct ectasia or fibrocystic disease or malignancy . dont negelect. take care
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We got a report as follows :

Female

Age : 54

Microscopic findings :



A/B : Smear shows necrotic debris, inflammatory cells, foamy macrophages, clusters of duct epithelial cells, naked nuclei and haemorrhage in the background.



Impression :



A/B : FNAC - Breast Mass - Benign cytology in favour of fibrocystic disease.



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Fnac of a large firm mass in left breast. About 5 ml. of grey brown fluid material obtained. A second pass made in the subareolar thickened area material obtained is scanty. Smear made and stained, no definite cell seen In the smear other than odd spindly cells. Centrifuge deposit of fluid showed cellular debris, some macrophages and few squamous cells. No definite nuclear atypia is seen.

Diagnosis: Fna yielded fluid material with fairly normal debris and degenerated cells suggestive of fibrocystic disease. However, the presence of squamous cells is intriguing. Histological evaluation of mass seen may be considered to completely exclude any cellular abnormality.



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