2014
DOI: 10.1136/bcr-2013-201922
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Male Zuska's disease

Abstract: Subareolar abscess of the male breast is a rare condition, which can be complicated by a fistula from the areolar skin into a lactiferous duct. In 1951, Zuskaet alfirst characterised this entity in women. Literature on mammillary fistulas in men is scarce and therefore standardisation of treatment does not exist. We present two cases of recurrent subareolar abscesses with draining fistulas. Both patients were successfully treated by complete excision of the lactiferous duct fistula, and continue to do well wit… Show more

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Cited by 17 publications
(14 citation statements)
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“…The clinical scenario of recurring subareolar abscesses and sinus formation has been referred to as Zuska’s Disease or periductal mastitis [ 51 ]. Patients with subareolar abscesses are typically premenopausal, though older women and men may also be affected [ 49 , 52 ]. Cigarette smoking is a strong risk factor for the development of subareolar abscesses, with approximately 70%–90% of patients reporting a history of smoking [ 50 , 53 , 54 ].…”
Section: Abscessmentioning
confidence: 99%
“…The clinical scenario of recurring subareolar abscesses and sinus formation has been referred to as Zuska’s Disease or periductal mastitis [ 51 ]. Patients with subareolar abscesses are typically premenopausal, though older women and men may also be affected [ 49 , 52 ]. Cigarette smoking is a strong risk factor for the development of subareolar abscesses, with approximately 70%–90% of patients reporting a history of smoking [ 50 , 53 , 54 ].…”
Section: Abscessmentioning
confidence: 99%
“…In addition, some radiological investigations, including breast US and mammogram, may provide further details. 2 , 11 Earlier reports have scrutinised the importance of FNAC in the assessment of male breast lesions generally 17 and in confirming the diagnosis of SBA particularly. 2 , 8 , 9 In our patient, the diagnosis was confirmed based on clinical features, US findings, and FNAC results.…”
Section: Discussionmentioning
confidence: 99%
“…Making the pathological diagnosis of SBA is important for its optimal management 9 , 10 and for preventing abscess recurrence and fistula formation. 11 Most importantly, it aids in differentiating SBA from malignant conditions. 13 …”
Section: Discussionmentioning
confidence: 99%
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“…Sonographic imaging findings present as "heterogenous, irregular, hypoechoic mass" or "fluid collection with internal echoes, and irregular walls." The increased vascularity in surrounding tissues, thickening of skin due to inflammation, and fistulous tract formation may also be present [6,34,35] (Fig. 10d, e).…”
Section: Subareolar Abscessmentioning
confidence: 99%