Subareolar Breast Abscesses: Characteristics and Results of Surgical Treatment

Versluijs-Ossewaarde, F. N. Lesanka; Roumen, R. M. H.; Goris, R.J.A.

doi:10.1111/j.1075-122x.2005.21524.x

Cited by 102 publications

(92 citation statements)

References 29 publications

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“…They primarily affect young women, most of whom are smokers (1,4,11) (Fig 2). With the increasing use of tobacco by young women, this type of abscess is becoming more frequent (4).…”

Section: Central (Periareolar) Nonpuerperal Abscess-mentioning

confidence: 99%

Breast Abscesses: Evidence-based Algorithms for Diagnosis, Management, and Follow-up

Trop¹,

Dugas²,

David³

et al. 2011

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Radiologists who regularly perform breast ultrasonography will likely encounter patients with breast abscesses. Although the traditional approach of surgical incision and drainage is no longer the recommended treatment, there are no clear guidelines for management of this clinical condition. Breast abscesses that develop in the puerperal period generally have a better course than nonpuerperal abscesses, which tend to be associated with longer treatment times and a higher rate of recurrence. The available literature on treatment of breast abscesses is imperfect, with no clear consensus on drainage, antibiotic therapy, and follow-up. By synthesizing the data available from studies published in the past 20 years, an evidence-based algorithm for management of breast abscesses has been developed. The proposed algorithm is easy to follow and has been validated by a multidisciplinary team approach and applied successfully during the past 2 years. Breast abscesses are a challenging clinical condition, and radiologists have a pivotal role in evaluation and follow-up of these lesions.

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“…They primarily affect young women, most of whom are smokers (1,4,11) (Fig 2). With the increasing use of tobacco by young women, this type of abscess is becoming more frequent (4).…”

Section: Central (Periareolar) Nonpuerperal Abscess-mentioning

confidence: 99%

Breast Abscesses: Evidence-based Algorithms for Diagnosis, Management, and Follow-up

Trop¹,

Dugas²,

David³

et al. 2011

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150

149

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“…Male subareolar abscess is a localized infection secondary to ductal ectasia, chronic obstruction, and inflammation [1,6]. Smoking is recognized as an aggravation factor, and almost 70% of patients smoked more than 10 cigarettes a day [6, 7].…”

Section: Discussionmentioning

confidence: 99%

A case of subareolar abscess in the male breast: Usefulness of magnetic resonance imaging scan for diagnosis

Fujii¹,

Yanai²,

Tokuda³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review ABSTRACTIntroduction: Subareolar abscess in the male breast is extremely rare. The main concern with this condition is performing the differential diagnosis, since clinically it often resembles breast cancer. Case Report: A 30-year-old Japanese male presented with pain and swelling of the left breast. Physical examination revealed a 3.0x3.0 cm palpable lump with redness of the skin in the left subareolar region. Magnetic resonance imaging (MRI) scan showed a ring-enhancing mass without wash out with central necrosis below the left nipple, suggesting subareolar abscess. A core needle biopsy was performed, and histological findings revealed granulation tissue with the infiltration of numerous neutrophils, a finding that was compatible with subareolar abscess. Conclusion: Male subareolar abscess is quite a rare disease, however, awareness of how to perform differential diagnosis of subareolar abscess and the use of MRI scan may help in making a definitive diagnosis of subareolar abscess in the male breast and might aid in the proper management of the condition.

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“…The need to excised dilated lactiferous terminals is no longer debated nowadays but the techniques vary [10][11][12][13]. In a series of 204 periareolar abscesses, Lesanka Versluijs-Ossewaarde reported a 79% recurrence rate if surgical excision did not included the lactiferous ducts versus 28% when the terminal lactiferous ducts were excised [14]. Some authors resected only the specific lactiferous ducts involved in the fistula, while others preferred excision of all retro-areolar galactophores [15] (The latter is also our choice for patients with multiply recurrent abscesses).…”

Section: Discussionmentioning

confidence: 99%