A galactocele (also called lacteal cyst or milk cyst) is a retention cyst containing

milk Milk is a white liquid food produced by the mammary glands of lactating mammals. It is the primary source of nutrition for young mammals (including breastfeeding, breastfed human infants) before they are able to digestion, digest solid food. ...

or a milky substance that is usually located in the

mammary gland A mammary gland is an exocrine gland that produces milk in humans and other mammals. Mammals get their name from the Latin word ''mamma'', "breast". The mammary glands are arranged in organs such as the breasts in primates (for example, human ...

s. They can occur in women during or shortly after lactation. They present as a firm mass, often subareolar, and are caused by the obstruction of a

lactiferous duct Lactiferous ducts are ducts that converge and form a Morphogenesis#Branching morphogenesis, branched system connecting the nipple to the lobules of the mammary gland. When lactogenesis occurs, under the influence of hormones, the breast milk, mil ...

. Clinically, they appear similar to a

cyst A cyst is a closed sac, having a distinct envelope and division compared with the nearby tissue. Hence, it is a cluster of cells that have grouped together to form a sac (like the manner in which water molecules group together to form a bubb ...

upon examination. The duct becomes more distended over time by

epithelial cell Epithelium or epithelial tissue is a thin, continuous, protective layer of Cell (biology), cells with little extracellular matrix. An example is the epidermis, the outermost layer of the skin. Epithelial (Mesothelium, mesothelial) tissues line ...

s and

. It may rarely be complicated by a

secondary infection infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...

and result in

abscess An abscess is a collection of pus that has built up within the tissue of the body, usually caused by bacterial infection. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pre ...

formation. These cysts may rupture leading to formation of inflammatory reaction and may mimic

malignancy Malignancy () is the tendency of a medical condition to become progressively worse; the term is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous ''benign'' tumor in that a malignancy is not ...

. Once

lactation Lactation describes the secretion of milk from the mammary glands and the period of time that a mother lactates to feed her young. The process naturally occurs with all sexually mature female mammals, although it may predate mammals. The process ...

has ended the cyst should resolve on its own without intervention. A galactocele is not normally infected as the milk within is

sterile Sterile or sterility may refer to: *Asepsis, a state of being free from biological contaminants * Sterile (archaeology), a sediment deposit which contains no evidence of human activity *Sterilization (microbiology), any process that eliminates or ...

and has no outlet through which to become

contaminated Contamination is the presence of a constituent, impurity, or some other undesirable element that renders something unsuitable, unfit or harmful for the physical body, natural environment, workplace, etc. Types of contamination Within the scienc ...

. Treatment is by aspiration of the contents or by excision of the cyst.

Antibiotic An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting pathogenic bacteria, bacterial infections, and antibiotic medications are widely used in the therapy ...

s are given to prevent

infection An infection is the invasion of tissue (biology), tissues by pathogens, their multiplication, and the reaction of host (biology), host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmis ...

. Galactoceles may be associated with

oral contraceptive Oral contraceptives, abbreviated OCPs, also known as birth control pills, are medications taken by mouth for the purpose of birth control. The introduction of the birth control pill ("the Pill") in 1960 revolutionized the options for contraception, ...

use. They have been known to present, although rarely, after

Breast augmentation In medicine, breast augmentation and augmentation mammoplasty are terms that describe a cosmetic surgery procedure that uses either a Breast implant, breast implant or a fat-graft to realise a mammoplasty to increase the size, change the shape ...

and

Breast reduction Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for reducing the size of large breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the pa ...

References

External links

Case description and discussion
at Harvard.edu Rare diseases Breast diseases {{womens-health-stub