From painful breast erythematic lesions to incidental mammary findings

Abstract

Introduction. High prolactin may cause central hypogonadism including osteoporosis and breast secretion but also rare manifestations like increased androgens in females or galactocele. A part from high prolactin – related large cystic incidental mammary findings, the breast cysts may be associated with infections, local trauma and hemorrhage of priory benign cystic disease or solid tumors. Method. We introduce different clinical aspects of breast nodules with benign appearance, either symptomatic like painful large cyst with local inflammation elements or asymptomatic as an incidental finding. This is a cases series from a multidisciplinary perspective. Cases data. The patients’ age is between 43 and 62 years. The youngest female presented a large left cyst after a potential local trauma with local inflammation signs which were released after liquid evacuation. The oldest patient had bilateral mammary micro-cysts with a good prognostic as incidental finding. Conclusion. Benign breast lesions of adult females may associate local skin changes as redness and increased temperature or they may be completely asymptomatic, being detected as incidental findings. Regardless the scenario, the index of malignancy suspicion is always necessary because of heterogeneous presentation and increased incidence of mammary cancer.

Keywords

• mammary cyst
• breast nodule
• incidentaloma
• incidental finding
• erythema