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Old Crystallizing Galactocele - A Rare Case Report | OMICS International
ISSN: 2157-7099
Journal of Cytology & Histology

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Old Crystallizing Galactocele - A Rare Case Report

Samoon Nuzhat1*, Shah Qayoom2, Qureshi Zubair1 and Bashir Nusrat3

1Department of Pathology and Transfusion Medicine District Hospital Baramula, Jammu and Kashmir, India

2Department of Surgery District Hospital Baramulla, Jammu and Kashmir, India

3SKIMS Soura, Jammu and Kashmir, India

*Corresponding Author:
Nuzhat Samoon
Department of Pathology and Transfusion Medicine
District Hospital Baramula
Jammu and Kashmir, India
Tel: 9906638617
E-mail: [email protected]

Received date: December 02, 2014; Accepted date: April 28, 2015; Published date: April 29, 2015

Citation: Nuzhat S, Qayoom S, Zubair Q, Nusrat B (2015) Old Crystallizing Galactocele - A Rare Case Report. J Cytol Histol 6:325. doi:10.4172/2157-7099.1000325

Copyright: © 2015 Nuzhat S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Galactoceles are benign cystic lesions generally occurring during pregnancy and lactation. Fine needle aspiration yields milky fluid that is often both diagnostic and therapeutic. Galactoceles are non-infective due to sterile environment and have no access to the outer environment. Crystallisation of the milky fluid takes place very rarely.

Keywords

Breast; Old crystallizing galactocele; Aspiration cytology

Case

A 35 year old female presented with a 3×3 cm discrete, non-tender nodule involving the lower outer quadrant of left breast since 3 years. FNAC showed bifrengent angulated crystals of varying size and shape and amorphous material in MGG (MayGrunWald - Geimsa) (Figures 1A-C). She had delivered a baby boy three years back and had presented with a swelling breast same site after a period of 6 months. FNA done had revealed features of a galactocele with aspiration of 5 ml of milky fluid with decreased size of the swelling. Now she has presented after 3 years since then with a clinical impression of a fibroadenoma breast. We performed 2 needle passes which resulted in the aspiration of thick chalky white material that obstructed the needle. In view of clinical history and cytology, a diagnosis of a crystallization of a galactocele was made.

cytology-histology-angulated-crystals

Figure 1: FNAC showed bifrengent angulated crystals of varying size and shape and amorphous material in MGG (MayGrunWald - Geimsa).

The cytological features of a galactocele which are considered to be specific to pregnancy and lactation were assessed by two small series [1] and by three case reports of Raso et al. [2], Nikumbh et al. [3], and Jyothi et al. [4].

Discussion

A galactocele is an uncommon benign lesion of breast resulting from the obstruction of the duct. In addition to lactation ,several breast lesions which result in a ductal obstruction [2] or a generalized condition such as a breast surgery, the transplacental passage of prolactin, and oral contraceptives can create the factors for the development of a galactocele [1,2].

Unusual feature of a galactocele- crystallizing galactocele makes us to report this case. To the best of our knowledge our case is the fourth case report after Raso et al. [2] and Nikumbh et al. [3], Jyoti et al. [4].

References

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