Nonpuerperal Mastitis and Subareolar Abscess of the Breast

Kasales, Claudia J.; Han, Bing; Js, Smith; Chetlen, Alison L.; Kaneda, Heather J.; Shereef, Serene

doi:10.2214/ajr.13.10551

Cited by 59 publications

(52 citation statements)

References 40 publications

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“…Peripheral abscesses have been associated with mastitis . The location of sub‐areolar nonlactation‐related abscess has been associated with prolonged morbidity . Sub‐areolar nonlactational breast abscesses have been considered hard to treat, and excision is advised .…”

Section: Discussionmentioning

confidence: 99%

Predictors of outcomes in managing breast abscesses-A large retrospective single-center analysis

2018

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We have retrospectively examined a wide range of clinical characteristics, sonographic features, microbiology, and antibiotic regimens in patients with breast abscesses to seek predictive features related to outcome. Because consensus for optimal treatment of breast abscesses has moved toward minimally invasive management using single or repeated needle aspiration (ASP) coupled with adjuvant antibiotics, we assessed whether any factors correlate with the need for repeat procedures by analyzing the number of ASPs and/or surgical incision and drainage (I&D) per abscess. We examined 127 abscesses in 114 patients from a single urban public hospital, and among clinical characteristics, we found that only smoking history (P = .021) and the presence of nipple rings (P = .005) were associated with greater likelihood of necessitating repeat for abscess resolution procedures. Neither diabetes, lactational status, and HIV nor ultrasound features imaging of an abscess including size >3 cm, multiloculation, rind thickness, or central vs peripheral location were correlated with the need for a repeat procedure. Likewise, no specific micro-organisms predicted a greater likelihood of requiring repeat procedures, and no specific initial antibiotic regimen (gram-positive and/or gram-negative or multiresistance coverage) impacted clinical outcomes. Our data indicate that no specific imaging abscess characteristics, type of micro-organism, or initial choice of antibiotics affect outcomes, and therefore, these features should not preclude attempts at conventional therapy by repeated aspiration and antibiotic treatment. While a smoking history and presence of a nipple ring may increase the risk of a prolonged course, the decision to change antibiotics or repeat aspiration should rely instead on clinical evaluation and judgment by experienced physicians.

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Section: Discussionmentioning

confidence: 99%

Predictors of outcomes in managing breast abscesses-A large retrospective single-center analysis

2018

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“…Occasional abscesses may be identified. Mastitis may present a mammographic pattern similar to that of inflammatory carcinoma, though without malignant-like calcifications [1][2][3]8 . Tissue response after partial mastectomy or radiotherapy, with cutaneous thickening and breast edema, is more pronounced 6 to 12 months after treatment, being gradually solved within 1 to 3 years.…”

Section: Discussionmentioning

confidence: 99%

Unilateral breast edema due to subclavian vein compression

Avelino¹,

Zanella²,

Bitencourt³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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148Avelino EBP, ZanellaD, Bitencourt AGV, Marques EF O edema mamário unilateral pode ter diferentes causas, que variam desde doenças malignas até benignas. O conhecimento das principais etiologias, associado ao exame clínico detalhado e aos achados radiológicos, é importante para que se estabeleça o diagnóstico correto, e para que se determine o manejo adequado do paciente. Neste artigo, será relatado o caso de uma paciente com câncer de pulmão que desenvolveu edema mamário unilateral; também serão discutidos os principais diagnósticos diferenciais. PALAVRAS-CHAVE:Neoplasias pulmonares; veia subclávia; ultrassonografia mamária; mamografia; neoplasias da mama. RESUMO ABSTRACTUnilateral breast edema may have different causes that vary from malignant to benign diseases. The knowledge of the main etiologies, associated to a detailed clinical examination and to radiological findings, is important in order to establish the correct diagnosis and determine the appropriate management of the patient. This article will report the case of a patient with lung cancer who developed unilateral breast edema; the main differential diagnoses will also be discussed.

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“…4 When the lactiferous duct lining undergoes epidermalisation, keratin production may cause plugging of the duct resulting in abscess formation. 5,6 This may explain the high recurrence rate (an estimated 39% -50%) of breast abscesses in patients treated with standard incision and drainage, as this technique does not address the basic mechanism by which breast abscesses are thought to occur.…”

Section: Pathophysiology Of Breast Diseasesmentioning

confidence: 99%

Clinical and Histological Evaluation of Patients With Breast Diseases

Chakkarapani¹,

Das²,

Dhanajayan³

2018

jemds

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BACKGROUND Breast pathologies being benign and malignant with varying treatment options remain a challenge for the surgeons. Also, the prognosis of the breast disease varies from one condition to the other. With this varying treatment options and prognosis, breast diseases especially breast carcinomas add burden not only to the health care sector but also to the patient in economic terms also. Hence, this study was planned to know the clinical profile of breast diseases among females more than 15 years of age. MATERIALS AND METHODSData was a descriptive study collected from hundred female patients above 15 yrs. of age who presented with breast lump, pain in the breast and nipple discharge and willing to undergo histopathology examination/ FNAC and treatment for their breast disease in outpatient and inpatient surgery department in

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Nonpuerperal Mastitis and Subareolar Abscess of the Breast

Cited by 59 publications

References 40 publications

Predictors of outcomes in managing breast abscesses-A large retrospective single-center analysis

Predictors of outcomes in managing breast abscesses-A large retrospective single-center analysis

Unilateral breast edema due to subclavian vein compression

Clinical and Histological Evaluation of Patients With Breast Diseases

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