title: Peri-implant galactocele following vacuum-assisted core biopsy of the breast: a cautionary tale.
abstract: A lactating woman in her early 40s with a strong family history of breast cancer presented with a markedly swollen breast days after having a vacuum-assisted core biopsy performed to sample indeterminate microcalcifications in her left breast. Ultrasound showed a large peri-implant fluid collection which yielded milky fluid on aspiration consistent with galactocele formation. Histology of the core specimens revealed a fragment of fibrous capsule suggesting that the core biopsy had created a fistula between the breast tissue and the peri-implant space. Bromocriptine was given and the galactocele slowly resolved.
authors.affiliation: Department of Radiology, Royal Perth Hospital, Perth, Western Australia, Australia. Donna.Taylor@health.wa.gov.au
authors.forename: Donna
authors.initials: D
authors.lastname: Taylor
authors.forename: Sagarika Thushanthi
authors.initials: ST
authors.lastname: Kulawansa
authors.forename: Dugald Dalziel
authors.initials: DD
authors.lastname: McCallum
authors.forename: Christobel
authors.initials: C
authors.lastname: Saunders
mesh_terms: D000328:Adult; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods; D047688:Breast Cyst / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D016462:Mammaplasty; D014463:Ultrasonography; D014618:Vacuum