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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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.
Breast; Old crystallizing galactocele; Aspiration cytology
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.
The cytological features of a galactocele which are considered to be specific to pregnancy and lactation were assessed by two small series  and by three case reports of Raso et al. , Nikumbh et al. , and Jyothi et al. .
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  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.  and Nikumbh et al. , Jyoti et al. .
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