Twenty-two year experience with recurring subareolar abscess andlactiferous duct fistula treated by a single breast surgeon - 25/08/11
Abstract |
Background |
Recurring subareolar abscess and lactiferous duct fistula are frequently difficult to manage.
Methods |
Personal experience with 67 cases treated during the past 22 years is reviewed.
Results |
There were 38 cases of subareolar abscess and 29 of lactiferous duct fistula. Thirty-three patients had resolution with antibiotics and needle aspiration or with incision and drainage,but 34 patients required definitive duct excision. Eight patients had duct excision through circumareolar incisions, and 5 of these had prolonged healing problems or recurrence within 1 year. Twenty-six patients had duct excision by placing a probe into the duct and radially excising an elliptical area of the nipple and areola like a “slice of pie,” and these all healed primarily (P <0.001).
Conclusions |
Approximately half of the patients with subareolar abscess can be managed medically, but the other half will require definitive duct excision. A radial elliptical incision with primary closure results in excellent cosmesis and low long-term recurrence rates.
Le texte complet de cet article est disponible en PDF.Keywords : Lactiferous duct fistula, Subareolar abscess
Plan
Vol 188 - N° 4
P. 407-410 - octobre 2004 Retour au numéro
Article précédent
- Two-year follow-up of areola-sparing mastectomy with immediate reconstruction
- Rache M. Simmons, Scott T. Hollenbeck, Gregory S. LaTrenta
- Prospective study of intraoperative mammary ductoscopy in patients undergoing partial mastectomy for breast cancer
- Julian A. Kim, Joseph P. Crowe, Joanne Woletz, Annette Dinunzio, Tricia Kelly, Jill R. Dietz
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