Zuska's disease in a male patient. The critical role of ultrasound imaging in diagnosis and management of this rare entity

Gkionis, Ioannis G.; Giakoumakis, Michail I.; Liva, Dimitra; Tsioulos, Georgios; Matalliotakis, Michail; Vrontaki, Maria; Giakoumakis, Konstantinos I.; Cavallo, Gerardina; Laliotis, Aggelos

doi:10.1016/j.radcr.2023.03.010

Cited by 2 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The clinical manifestations of SBAs include nipple retraction, erythema, swelling, and pain [ 3 ]. Although SBAs are generally unilateral, bilateral cases have also been reported [ 8 ]. Mammography, breast ultrasonography, CT, and MRI are often used for diagnosis, but it is difficult to reach a definitive diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients are initially managed with antibiotics and incisional drainage of the affected area, which are often unsuccessful procedures. Staphylococci are the most commonly reported causative organisms, with Pseudomonas , Actinomyces , Salmonella , and Listeria also present [ 8 ]. Therefore, cephem antibiotics, which are Gram-positive broad-spectrum antibiotics, are effective in the early stages of treatment and have been used in many cases [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Subareolar Breast Abscess in a Male: A Case Report

Yoshino¹,

Yoshida²,

Ito³

et al. 2023

Cureus

View full text Add to dashboard Cite

A subareolar breast abscess (SBA) is caused by the formation of an inflammatory abscess around the milk duct. SBAs usually occur in females, and reports of SBAs in males are very rare. This study reports the case of a 62-year-old male patient who presented with a subcutaneous nodule and diffuse erythema around the left nipple. Ultrasonography revealed a mixed lesion measuring 2.5 x 1.5 cm, mostly cystic. A computed tomography scan of the chest showed an irregular, nodular structure in the same area. Magnetic resonance imaging with contrast enhancement suggested an abscess. A needle biopsy was performed on the lesion, and results showed moderate inflammatory cell infiltration, including lymphocytes, plasma cells, neutrophils, and abscess formation, thus leading to the diagnosis of SBA. The patient did not strongly desire a surgical procedure. He was treated with the cephem antibiotic cefaclor and antipyretic analgesics. During the six-month healing period, cefaclor was administered for a total of six weeks. Once he improved, recurrence was observed two years after the onset of the disease; however, the symptoms improved with conservative treatment, such as warm compresses. Preventive measures should be considered as SBAs are prone to recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Subareolar Breast Abscess in a Male: A Case Report

Yoshino¹,

Yoshida²,

Ito³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Modified Surgical Approach for Treating Zuska’s Disease: Complete Resection of the Sinus Tract and Duct

Gao,

Ju,

Wang

et al. 2024

IJWH

View full text Add to dashboard Cite

Background Mammary duct fistula is an abnormal tract formed between the wall of a breast duct and the adjacent tissue or skin, typically resulting from a rupture of the duct wall. This condition is characterized by inflammation due to the leakage of fluid from the surrounding breast tissue. Infection of the sinus tract can lead to the infection of adjacent lactiferous ducts or recurrence in the same sinus tract, ultimately resulting in abscess formation and a prolonged healing process. In severe cases, this condition may be accompanied by breast deformity and other complications. Case Presentation A patient with a mammary duct fistula from the General Surgery Department of Dongzhimen Hospital, affiliated with the Beijing University of Chinese Medicine, underwent a modified surgical procedure. Post-surgery, the patient’s nipple inversion was fully corrected with no recurrence observed. Conclusion The novel modified surgical procedure demonstrates effectiveness in preventing local recurrence, shortening the clinical course, and addressing pathogenic factors such as nipple inversion. This approach has the potential to improve the cure rate of mammary duct fistulas and is worthy of clinical promotion.

show abstract

Zuska's disease in a male patient. The critical role of ultrasound imaging in diagnosis and management of this rare entity

Cited by 2 publications

References 19 publications

Subareolar Breast Abscess in a Male: A Case Report

Subareolar Breast Abscess in a Male: A Case Report

Modified Surgical Approach for Treating Zuska’s Disease: Complete Resection of the Sinus Tract and Duct

Contact Info

Product

Resources

About