Lactating adenoma are rare benign
stromal breast tumors that typically occur in the peripartum period. They are prevalent breast tumours
during pregnancy and lactation due to breast
enlargement and hormonal changes.
Aim: To present this rare clinical entity and offer
Case report: She was Mrs A.C a 25 year old primipara
who presented at 8 weeks post-partum at the Surgical
outpatient clinic of the Rivers State University Teaching
Hospital with a breast swelling. She was first seen at 27
weeks gestation when she declined surgical intervention.
On physical examination she had a right non-tender
breast mass which measured 8 centimeter (cm) by 6
centimeter (cm). She declined immediate surgery and
was commenced on bromocptine. An excellent response
with shrinkage was elicited She had a successful left
breast lump excision and vertical mammoplasty with
anterior and superior pedicles under general anesthesia.
Histology revealed lactating adenoma. She was
discharged on her 4th post-operative day in good
clinical condition. She had an excellent cosmetic result
and was in a satisfactory clinical state on subsequent
follow-up visits at the surgical outpatient clinic.
Conclusion: Lactating adenoma is a rare clinical entity.
High index of suspicion should be entertained for
patients presenting with this breast tumour with prompt
diagnosis and as surgical intervention produces
lactating, adenoma, vertical, mamoplasty, anterior, superior, pedicles. Bromociptine.