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Galactocele, although a common cytological diagnosis in females, is not previously reported as a cause of breast enlargement in adult males. Hyperprolactinemia is the principal cause of galactocele in male breast. Besides drug induced hyperprolactinemia, other anatomical lesions of hypothalamo-pituitary region and different medical conditions like cirrhosis and chronic kidney disease are to be considered along with a full evaluation of features revealing hypogonadism in case of galactocele. Aspirated milk from the male breast is the primary clue for this detailed investigation process. Here we are presenting the first case of galactocele of the male breast due to hypogonadotropic hypogonadism with idiopathic hyperprolactinemia. K E Y W O R D S adult, aspiration, breast, galactocele, male

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A 26 year old gravida 2 para 1 presented to obstetrics department at full term with an unremarkable USG. LSCS was performed for CPD. A fimbrial cyst was discovered intra operatively and excised and sent to us for histopathological examination which showed derivatives of all 3 germ cell layers with presence of shadow cells surrounded by basaloid cells and giant cell reaction. Objective was to report a case of mature cystic teratoma of Fallopian tube with shadow cell differentiation.