The aetiology of periductal mastitis

Bundred, Nigel

doi:10.1016/0960-9776(93)90027-d

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…Smoking may damage the subareolar ducts, either as a direct toxic effect or as an indirect effect on hormonal release or blood flow, and the lesions may then become infected with anaerobic bacteria. 8 The pathologic finding of this disease is a squamous metaplasia possibly due to congenital factors but more likely due to the effects of smoking that act on epithelial cells. Desquamated epithelial cells can form a plug in the retroareolar major ducts, which blocks the proximal lactiferous duct.…”

mentioning

confidence: 99%

Recurrent periductal mastitis: Surgical treatment

Taffurelli

Pellegrini

Santini

et al. 2016

Surgery

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mentioning

confidence: 99%

Recurrent periductal mastitis: Surgical treatment

Taffurelli

Pellegrini

Santini

et al. 2016

Surgery

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“…Although more than 100 years have passed since the disease’s definition, there are still controversies in diagnosis, classification, and treatment. Some studies investigating the relationship between PM and smoking revealed that the amount of nicotine in the subareolar duct was higher than in plasma [ 10 , 13 , 14 ]. In normal breast tissues, lactiferous ducts are lined by a two-layer cuboidal epithelium, and the orifices on the nipples are lined with squamous epithelium.…”

Section: Discussionmentioning

confidence: 99%

Modified techniques versus Hadfield’s procedure in patients with periductal mastitis

et al. 2022

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Background Periductal mastitis (PM) is a rare disease characterized by chronic inflammation of the terminal mammary ducts. Complete removal of terminal lactiferous ducts with Hadfield procedure is a previously defined technique in treatment but carries various complications risks. This study aims to evaluate the effectiveness of modified techniques in the treatment of PM. Methods Twenty women who underwent surgery due to PM between January 2012 and December 2019 were retrospectively analyzed. Types of PM were determined. All patients were operated on with three different incisions [Hadfield’s operation with periareolar incision (n:11), periareolar combined radial incision (n:7), and round block incision (n:2)]. Results The mean age was 37.5 ± 6.5 years (range: 24–49). Sixty percent of patients had type 3 PM. In Hadfield’s procedure, NAC retraction (n:2), seroma (n:1), and hematoma (n:1) were seen. In the periareolar incision combined radial incision group only one patient had complications (seroma) and none in the round block method. Follow-up was 12 ± 1.5 months and disease relapse occurred in two patients in the Hadfield group. Patients who underwent round block were more satisfied with the appearance of the nipple. Conclusions In the treatment of PM, the main principle of surgical treatment is the excision of the affected canal with a clear margin. Apart from the classical Hadfield procedure, the round block method and periareolar combined radial incision techniques can be performed in the treatment of PM.

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“…The toxic substances from smoking can not only directly damage the subareolar duct, but also indirectly affect the release of hormones or blood flow, resulting in the growth of anaerobes, disturbance of mammary duct excretion, ductal dilatation, and inflammation (35). The pathological manifestation of this disease is squamous metaplasia of ductal epithelium, which may be caused by congenital factors, but it is more likely to be due to the effect of smoking on epithelial cells (36).…”

Section: Smokementioning

confidence: 99%

Identification of periductal mastitis and granulomatous lobular mastitis: a literature review

Jiao¹,

Chang²,

Jiang³

et al. 2023

Ann Transl Med

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Background and Objective: Non-puerperal mastitis (NPM) is a breast disease with poor clinical manifestations, which seriously affects women's health and quality of life. Due to the low incidence rate of the disease and the paucity of related research, there is much misdiagnosis and mis-management of periductal mastitis (PDM) and granulomatous lobular mastitis (GLM). Therefore, understanding the differences between PDM and GLM, in terms of etiology and clinical manifestations, is crucial for patient treatment and prognosis. At the same time, choosing different treatment methods may not achieve the best treatment effect, so the appropriate treatment method can often reduce the patient's pain and reduce the recurrence of the patient's disease. Methods:The PubMed database was searched for articles published from 1 January 1990 to 16 June 2022 using the following search terms: "non-puerperal mastitis", "periductal mastitis", "granulomatous lobular mastitis", "mammary duct ectasia", "idiopathic granulomatous mastitis", "plasma cell mastitis", and "identification". The key findings of the related literatures were analyzed and summarized.

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The aetiology of periductal mastitis

Cited by 8 publications

References 14 publications

Recurrent periductal mastitis: Surgical treatment

Recurrent periductal mastitis: Surgical treatment

Modified techniques versus Hadfield’s procedure in patients with periductal mastitis

Identification of periductal mastitis and granulomatous lobular mastitis: a literature review

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