An unusual case of galactorrhea in a postmenopausal woman complicating breast reduction

Majdak-Paredes, E J; Shafighi, M; During, V; Sterne, G D (2009). An unusual case of galactorrhea in a postmenopausal woman complicating breast reduction. Journal of plastic, reconstructive & aesthetic surgery, 62(4), pp. 542-6. Amsterdam: Elsevier 10.1016/j.bjps.2007.10.019

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Galactorrhea is a relatively common condition, but has rarely been seen following breast reduction surgery. To date there are only seven cases reported in the literature, all in premenopausal women. Postsurgical galactorrhea is a diagnosis of exclusion and differential diagnosis is extensive. Common causes should be excluded first. We present the case of a 56-year-old postmenopausal woman who underwent bilateral breast reduction and developed galactorrhea 2 months postoperatively. MRI scan of the skull as well as Thyroid-Stimulating Hormone (TSH), prolactin levels were normal. She was on long-term hormonal replacement therapy. Because of suspected nerve-related pain in her right breast she was commenced on amitriptyline. We hypothesise that galactorrhea may have been caused by underlying neuroma or irritation of the anterior branch of the T4 intercostal nerve or hormonal replacement therapy or a combination of both.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Plastic, Reconstructive and Aesthetic Surgery
UniBE Contributor:	Shafighi, Maziar
ISSN:	1748-6815
Publisher:	Elsevier
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:11
Last Modified:	05 Dec 2022 14:21
Publisher DOI:	10.1016/j.bjps.2007.10.019
PubMed ID:	18023264
Web of Science ID:	000265318000027
URI:	https://boris.unibe.ch/id/eprint/31283 (FactScience: 195729)