During lactation, breast duct dilation and milk retention cysts.

Patient's question:

I'm almost three months into breastfeeding, and I've had two cases of mastitis in the middle. Recently, both my areolas and nipples have been sore and swollen. Yesterday, an ultrasound revealed that both breasts showed lactating glandular tissue with ductal dilation. A 2.5x0.6cm anechoic area could be detected in the outer upper quadrant of the right breast, with clear boundaries, thin walls, and dense echoes inside. The anechoic area in the outer upper quadrant of the right breast is considered a galactoma. Breastfeeding in the right breast is truly agonizingly painful, followed by intermittent sharp pains. Heat therapy hasn't helped either. I've been prescribed a few bags of traditional Chinese medicine and applied topical patches. Could a galactoma turn into a malignant tumor? What should I do? Should I continue breastfeeding or wean to focus on treatment? Please help me, thank you! I've had hyperplasia for several years already.

Doctor's answer:

Analysis of the condition: Based on the preliminary diagnosis, it is possible that the condition is due to milk stasis during lactation, which may lead to the formation of a cyst. If not treated actively, it could develop into a breast abscess.
Advice: It is recommended to stop breastfeeding on the affected side, actively administer anti-inflammatory medication, perform needle aspiration to drain the abscess, and combine it with heat therapy and physical therapy. This should improve the condition. This condition will not transform into a malignant tumor, so there is no need to worry.

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