Sonographically Guided Percutaneous Intralesional Triamcinolone Injection: A New Treatment for Mammillary Fistulas

Abstract

We describe a new procedure, sonographically guided intralesional triamcinolone injection, for the treatment of mammillary fistulas. Six patients with mammillary fistulas were enrolled in this prospective study. Clinical improvement was rapid after the first triamcinolone injection. The initial response to treatment was assessed as complete in 4 cases, and the remaining 2 cases resolved successfully with additional injections. On the basis of the excellent results obtained in this study, it is thought that intralesional triamcinolone injection may be a good alternative to surgery.

Efficacy of intralesional triamcinolone injection in the treatment of mammillary fistula: a prospective study

“…In a rabbit model triamcinolone acetonide during breast implantation has been seen to influence early capsule formation and possibly reduce capsular contracture (23). We recently published a study (12) using ILT injection as a first-line therapy for MF. In the present study, success of the treatment with ILT injection was observed in all cases (5/5) in the triamcinolone group.…”

“…The ILT injection technique has been described previously (12). All the US-guided procedures were performed by a single radiologist (JBS) with 24 years of experience in breast imaging.…”

“…This new proposal has led to the presentation of a therapeutic alternative for MF. Berna et al (12) have reported that ultrasound (US)-guided intralesional triamcinolone (ILT) injection may be a therapeutic alternative for MF. The purpose of this study was to investigate the utility of US-guided ILT injection of the MF versus conventional irrigation with saline solution.…”