Apport de lâ©chographie dans le diagnostic de lâad©nome lactant :  propos dâun cas

Résumé

L'ad©nome lactant est une tumeur b©nigne qui se pr©sente sous la forme dâune masse mammaire solitaire et mobile. Il est retrouv© au cours du troisi¨me trimestre de la grossesse ou lors de la lactation. Il sâagit dâune tumeur b©nigne rare des seins survenant chez les femmes en p©riode de procr©ation. Son diagnostic est suspect©   la radiologie notamment lâ©chographie et confirm© par lâhistologie. Nous rapportons le cas dâune patiente de 28 ans, sans ant©c©dent particulier chez qui la d©couverte dâune masse ferme du sein droit au cours de la grossesse a ©t© rattach©e au diagnostic dâad©nome lactant compte tenu du contexte clinique et confirm© histologiquement par la microbiopsie. Une surveillance radiologique a ©t© effectu©e apr¨s lâaccouchement puis tous les 6mois sur deux ann©es cons©cutives. Elle a b©n©fici© dâun traitement m©dical   base de Bromocriptine suivie dâune tumorectomie un an apr¨s lâaccouchement sans incident majeur. Lâ©volution clinique a ©t© favorable.

ABSTRACT

 Lactating adenoma is a benign tumor that present as solitary mobile breast mass. It occurs either during pregnancy at the third trimester or lactating period. It is a rare breast benign tumor affecting childbearing age women. The diagnostic is suspected by radiologic exam as ultrasound and confirmed by histology. We reported a case of 28 years old woman without any pathologic post medical history that we discover a firm right breast mass during the pregnancy period. The diagnostic of lactating adenoma was performed based on clinical context then confirmed by histologic microbiopsy. Radiologic monitoring was made after she give birth and was continue every six months for the next two years. She received medical treatment based Bromocriptine following with safe surgical adenomectomy one ear after giving birth. The clinical course was favorable.