Best-practice care pathway for improving management of mastitis and breast abscess

Patani, Neill; MacAskill, Findlay; Eshelby, Sarah; Omar, Abeid Mohamed Athman; Kaura, Amit; Contractor, Kaiyumars; Thiruchelvam, Paul; Curtis, Sally; Main, Janice; Cunningham, Deborah; Hogben, Katy; Al-Mufti, Ragheed; Hadjiminas, Dimitri; Leff, Daniel

doi:10.1002/bjs.10919

Cited by 19 publications

(29 citation statements)

References 29 publications

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“…They can be distinguished as lactational and non-lactational or puerperal and nonpuerperal breast infections [ 6 , 7 ]. It is crucial to rule out more severe pathologies, such as breast cancer, when non-lactational females have breast abscess symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…It is crucial to rule out more severe pathologies, such as breast cancer, when non-lactational females have breast abscess symptoms. Usually, diagnosis and therapy of typical abscesses are not difficult [ 6 , 7 ]. We know from the example of our adolescent patient that this is not the rule.…”

Section: Discussionmentioning

confidence: 99%

“…The most crucial element of diagnostics, also in an abscess, is physical examination [ 6 , 7 , 8 ]. The differential diagnosis between benign or malignant breast mass, inflammatory breast cancer, and cellulitis should always be performed [ 4 , 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

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Clinically Malignant Breast Lesion in an Adolescent Girl: A Case Report

Sosnowska-Sienkiewicz

Mańkowski

2021

Clinics and Practice

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Diseases of the breast in adolescent women are usually benign, and their treatment is simple using appropriate medical strategy and rarely surgical therapy. The whole team’s real challenge is when the girl presents malignant breast cancer symptoms such as a non-movable tumor, nipple discharge, nipple retraction, retraction of the skin, inflammatory infiltration of the breast, or ulceration. Presented here is a case of a 15-years-old girl with the features of a malignant neoplasm of the breast. There was an observed non-movable tumor, retraction of the nipple, inflammatory infiltration, and pain. The performed ultrasound and magnetic resonance imaging suggested a malignant lesion measuring 84 mm × 66 mm × 50 mm. After many diagnostic difficulties, the lesion evacuated spontaneously, and the abscess was diagnosed. In conclusion, not all features of a malignant breast tumor in adult women are typical for adolescent females. In young girls, breast diseases are usually benign, and appropriate diagnostics and therapy allow for an effective cure. Atypical breast lesions require the extraordinary cooperation of a multidisciplinary team.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinically Malignant Breast Lesion in an Adolescent Girl: A Case Report

Sosnowska-Sienkiewicz

Mańkowski

2021

Clinics and Practice

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“…It is estimated that there are approximately 100,000 cases of benign anal disease in general. The average age at presentation is 40 years, and that the male mostly of adults twice the rate of infection than females [121]. Abscess around the anus is an indication of the incision and drainage in a timely manner.…”

Section: Perianal Abscessmentioning

confidence: 99%

Bacterial Skin Abscess

Radhi¹,

AL-Rubea²,

Hindi³

et al. 2021

Insights Into Drug Resistance in Staphylococcus Aureus

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Patients with skin and soft tissue infections may appear with the abscess. Erroneous diagnosis of these entities is common, and should carefully consider the possible alternative diagnoses. Risk for developing skin abscess factors includes disruption of the skin barrier, edema, venous insufficiency, and immune suppression. However, healthy individuals who have no risk factors may also develop these diseases. The most common microbiologic cause of abscess, a commonly group Streptococcus or Streptococcus pyogenes; Staphylococcus aureus (including methicillin-resistant strains) is a notable but less common cause. The most common microbiologic cause of skin abscess is S. aureus; a skin abscess can be caused by more than one pathogen. The diagnosis is based on skin abscess usually on the clinical manifestations. It must be subject to patients with disposable abscess incision and drainage, with a test of culture and susceptibility of materials wet. There is no justification for the blood of patients in the cultures of the abovementioned circumstances. It can be a useful radiographic examination to determine whether the skin abscess is present (via ultrasound) to distinguish cellulitis from osteomyelitis (via magnetic resonance imaging). There may be a justification for radiological assessment in patients with immune suppression, diabetes, venous insufficiency, or lymphedema in patients with persistent symptoms of systemic lymphatic obstruction.

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“…Otherwise, it may cause tilting and retraction of the nipple and may increase the probability of acute mastitis during lactation. 25,26 Bleeding during minimally invasive resection affects the quality of the ultrasound image in the surgical field and influences the judgment as to whether the nodule has achieved complete resection. 27 The image quality of ultrasound equipment and the surgeons' level of expertise in ultrasound examinations also impact the quality of nodule resection.…”

Section: Aspects Of Clinical Application Of Ultrasound-guided Minimalmentioning

confidence: 99%

Clinical Value of Ultrasound-Guided Minimally Invasive Biopsy in the Diagnosis or Treatment of Breast Nodules

Gao¹,

Zhu

Xu³

et al. 2020

CMAR

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Purpose To explore the clinical value of ultrasound-guided minimally invasive biopsy of breast nodules for diagnosis and treatment of patients with no positive clinical signs on manual breast examination. Methods We performed a retrospective review of 136 patients with no signs on breast palpation who underwent ultrasound-guided minimally invasive biopsy. A total of 63 patients underwent breast nodule resection from October 2018 to December 2019 at the General Hospital of Central Theater Command of the People’s Liberation Army. Clinical data, including indications for minimally invasive biopsy or resection, pathological and surgical results were retrospectively analyzed. Results A total of 199 patients were studied; 136 underwent minimally invasive biopsy and 63 underwent resection. No severe surgical complications occurred. Minimally invasive biopsy of breast nodules was superior to resection with respect to operation time, incision length, and postoperative complication rate. Conclusion Ultrasound-guided minimally invasive biopsy of breast nodules is feasible for treatment of patients with negative breast nodules and can achieve accurate diagnosis and satisfactory resection.

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Best-practice care pathway for improving management of mastitis and breast abscess

Abstract: A standardized approach to mastitis and breast abscess reduced undesirable practice variation, with sustained improvements in process and patient outcomes.

Cited by 19 publications

References 29 publications

Clinically Malignant Breast Lesion in an Adolescent Girl: A Case Report

Clinically Malignant Breast Lesion in an Adolescent Girl: A Case Report

Bacterial Skin Abscess

Clinical Value of Ultrasound-Guided Minimally Invasive Biopsy in the Diagnosis or Treatment of Breast Nodules

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