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Bundred,; Abdullah,; Iddon,; Barr,; Baildam,

doi:10.1046/j.1365-2168.1999.0999b.x

Cited by 8 publications

(3 citation statements)

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“…The present study shows a significantly lower recurrence rate of subareolar breast abscesses after treatment that includes excising the lactiferous ducts compared to treatment without excision of the affected lactiferous ducts. Review of the literature identifies other modalities of treatment as well, including major duct excision, partial nipple resection, and even mastectomy (2,31,32). Today most studies agree that administration of antibiotics may be an effective treatment if a periareolar inflammation without abscess formation is present.…”

Section: Discussionmentioning

confidence: 99%

“…Today most studies agree that administration of antibiotics may be an effective treatment if a periareolar inflammation without abscess formation is present. If periareolar pus develops, incision and drainage of the abscess should be performed first, followed by excision of the affected lactiferous duct and the chronically infected tissue to prevent recurrences (1,3,4,8,(31)(32)(33)(34)(35)(36)(37)(38)(39). Some studies report successful treatment of breast abscesses by repeated aspiration combined with administration of antibiotics (40,41).…”

Section: Discussionmentioning

confidence: 99%

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Subareolar Breast Abscesses: Characteristics and Results of Surgical Treatment

2005

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Our objective was to describe the characteristics of subareolar breast abscesses and to analyze the results of surgical treatment in relation to the prevention of recurrences. Almost 70% of patients smoked more than 10 cigarettes a day. The recurrence rate after excision of the lactiferous ducts was 28% and after management without excision of the lactiferous ducts was 79% (p < 0.001). Gram-positive bacteria were isolated more frequently in primary subareolar breast abscesses (not significant). Anaerobic microorganisms were more frequently cultured in recurring subareolar breast abscesses (p = 0.02). Definitive treatment of subareolar breast abscesses should consist of excision of the affected lactiferous ducts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Subareolar Breast Abscesses: Characteristics and Results of Surgical Treatment

2005

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“…mammillary fistula, also known as Zuska disease, is a recurrent condition usually associated with a nonlactating subareolar abscess and affecting women aged between 20 and 50 years. [1][2][3][4][5][6][7] A history of a subareolar abscess or spontaneous rupture of an inflammatory mass precedes the development of a mammillary fistula in most patients. 5,6 The disease can cause prolonged morbidity and is often difficult to manage, having a profound impact on the quality of life.…”

Section: Preliminary Resultsmentioning

confidence: 99%

Sonographically Guided Percutaneous Intralesional Triamcinolone Injection: A New Treatment for Mammillary Fistulas

Berná-Serna

Berná-Mestre

Piñero

et al. 2012

Journal of Ultrasound in Medicine

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We describe a new procedure, sonographically guided intralesional triamcinolone injection, for the treatment of mammillary fistulas. Six patients with mammillary fistulas were enrolled in this prospective study. Clinical improvement was rapid after the first triamcinolone injection. The initial response to treatment was assessed as complete in 4 cases, and the remaining 2 cases resolved successfully with additional injections. On the basis of the excellent results obtained in this study, it is thought that intralesional triamcinolone injection may be a good alternative to surgery.

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Prevalence of and Factors Associated With Persistent Pain Following Breast Cancer Surgery

Gärtner¹,

Jensen²,

Nielsen³

et al. 2009

JAMA

763

537

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Context Persistent pain and sensory disturbances following surgical treatment for breast cancer is a significant clinical problem. The pathogenic mechanisms are complex and may be related to patient characteristics, surgical technique, and adjuvant therapy.Objective To examine prevalence of and factors associated with persistent pain after surgical treatment for breast cancer. Design, Setting, and PatientsA nationwide cross-sectional questionnaire study of 3754 women aged 18 to 70 years who received surgery and adjuvant therapy (if indicated) for primary breast cancer in Denmark between January 1, 2005, and December 31, 2006. A study questionnaire was sent to the women between January and April 2008.Main Outcome Measures Prevalence, location, and severity of persistent pain and sensory disturbances in 12 well-defined treatment groups assessed an average of 26 months after surgery, and adjusted odds ratio (OR) of reported pain and sensory disturbances with respect to age, surgical technique, chemotherapy, and radiotherapy.Results By June 2008, 3253 of 3754 eligible women (87%) returned the questionnaire. A total of 1543 patients (47%) reported pain, of whom 201 (13%) had severe pain, 595 (39%) had moderate pain, and 733 (48%) had light pain. Factors associated with chronic pain included young age (18-39 years:

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Authors' reply

Cited by 8 publications

References 0 publications

Subareolar Breast Abscesses: Characteristics and Results of Surgical Treatment

Subareolar Breast Abscesses: Characteristics and Results of Surgical Treatment

Sonographically Guided Percutaneous Intralesional Triamcinolone Injection: A New Treatment for Mammillary Fistulas

Prevalence of and Factors Associated With Persistent Pain Following Breast Cancer Surgery

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