Surgical treatment of recurring subareolar abscess using oncoplastic techniques

Giacalone, Pierre‐Ludovic; Rathat, G.; Fournet, S.; Rouleau, Caroline

doi:10.1016/j.jviscsurg.2010.10.008

Cited by 10 publications

(14 citation statements)

References 17 publications

(33 reference statements)

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“…Among the studies that demonstrated the presence of bacterial infection, both aerobes and anaerobes have been found in the subsequent culturing or sequencing of samples from PDM patients, including Pseudomonas aeruginosa and Staphylococcus aureus [ 12 ]. Although the diversity of bacterial strains which infected the lesions of PDM might be due to different detecting methods and culture media used in different individual study, the overall results still suggest that a specific pathogenic bacterium may not exist for the infection of PDM [ 15 , 16 ]. Therefore, we hypothesize that the main cause of this disease may be the consequent immune response following bacterial infection instead of the infection itself.…”

Section: Introductionmentioning

confidence: 99%

Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?

Liu

Zhou

Wang

et al. 2017

Mediators of Inflammation

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Periductal mastitis (PDM) is a prolonged inflammatory disease, but the cause of PDM is poorly understood. In the present case control study, 87 PDM and 87 healthy controls were enrolled and the results were evaluated to identify the significant risk factors for PDM. To investigate the roles of bacterial infection and critical cytokines expression, 16S rRNA gene sequencing and bacterial culturing were conducted. We also measured the levels of interferon-γ, interleukin-12A, and interleukin-17A by semiquantitative immunohistochemistry method. In a multivariable logistic regression model, we identified overweight/obesity and late onset of menarche as independent risk factors for PDM. In contrast, age of first birth >27 years had a protective effect. With 16S rRNA gene sequencing, we confirmed bacterial infections were found in all PDM patients, but none of the control patients was positive on the gene expression of 16S rRNA. Our results also demonstrated significant increases of the IFN-γ and IL-12A expression in PDM, but there was no difference in IL-17A expression in these two groups. Taken together, this study suggests that reproductive factors and overweight/obesity are possible predisposing risk factors for PDM. Bacterial infection and the increased expression of some proinflammatory cytokines are associated with the pathogenesis of this disease.

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Section: Introductionmentioning

confidence: 99%

Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?

Liu

Zhou

Wang

et al. 2017

Mediators of Inflammation

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“…Therefore, it is important to provide reliable curative treatment for subareolar abscess by initial surgery. This point is illustrated by the use of mastectomy with oncoplastic techniques for recurrent abscess cases [3]. The breast surgeon Lannin [6] reported on the results of treatment that he performed for subareolar abscesses in a 22-year period.…”

Section: Discussionmentioning

confidence: 99%

“…In the remaining half, radical elliptical incision with primary closure resulted in low long-term recurrence rates. Although stable treatment outcomes have been reported by such an experienced surgeon, there are still many cases of recurrent subareolar abscesses due to incomplete treatment [1–3, 6]. Thus, surgery should be performed after determination of the extent of resection by preoperative imaging evaluation.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Inverted Nipple with Subareolar Abscess: Usefulness of High-Resolution MRI for Preoperative Evaluation

Enomoto

Matsuzaki

2012

Plastic Surgery International

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Background. Inverted nipples with subareolar abscesses can recur due to insufficient resection. It is important to provide reliable curative treatment after determination of the extent of resection by preoperative imaging evaluation. Methods. Ten patients were treated for inverted nipples with subareolar abscess. Sonography and high-resolution MRI were used as preoperative imaging modalities. The endpoints of preoperative imaging evaluation were defined as the identification of the abscess site, isolated fistula site, and extent of inflammation. Results. In all patients, sonography confirmed the presence of abscesses but their locations could not be identified. Sonography could not confirm the presence of isolated fistula or inflammation. In contrast, high-resolution MRI not only confirmed the presence of abscesses but also revealed their positional relationships with the nipples. In addition, high-resolution MRI confirmed the presence of isolated fistulas and inflammation as well as revealed their positional relationships with the nipples. In all patients, no recurrence was observed, and satisfactory surgical results were obtained. Conclusion. High-resolution MRI is useful in determination of the extent of resection of subareolar abscess associated with inverted nipple.

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“…There is no consensus on the optimal therapeutic strategy for IGM. Surgical removal of the diseased section is the most commonly recommended approach but shows DOI: 10.1159/000503602 more cosmetic problems [6]. Conservative alternatives include close observation, antibiotics, or immunosuppressive therapy with corticosteroids.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Conservative versus Surgical Treatment Protocols in Treating Idiopathic Granulomatous Mastitis: A Meta-Analysis

Zhou

Liu

et al. 2019

Breast Care

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Background: Idiopathic granulomatous mastitis (IGM) is a rare, benign breast disease without any definitive therapeutic strategy. It is controversial whether to use conservative or surgical treatment of IGM and high-level evidence-based medicine data are lacking. The purpose of this study was to systemically evaluate the clinical effectiveness of the conservative versus surgical treatment for IGM. Methods: In this meta-analysis, we searched PubMed, EMbase, ScienceDirect, and Web of Science for comparative studies about the conservative versus surgical treatment of IGM. Two researchers independently identified reports and extracted data. We used Stata 11 for data analysis. A meta-analysis was performed to investigate the differences in the recurrence rate of conservative and surgical treatment using a random effects model. Results: A total of 10 studies involving 1,101 patients were included. The results demonstrated that there was no significant difference in the recurrence rate among patients who were treated by nonsurgical therapy and surgical treatment. No publication bias was detected. Conclusion: This meta-analysis demonstrates that both the conservative and surgical treatment approaches have appropriate efficacy in IGM treatment and relapse. Further randomized controlled trials with longer follow-up periods are required to confirm the advantages of each approach.

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Surgical treatment of recurring subareolar abscess using oncoplastic techniques

Abstract: Our technique is simple and feasible and the results are encouraging. It can be used regardless of the location of the fistula around the periphery of the nipple-areola complex and it is perfectly suited to the management of chronic fistulous abscess.

Cited by 10 publications

References 17 publications

Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?

Periductal Mastitis: An Inflammatory Disease Related to Bacterial Infection and Consequent Immune Responses?

Treatment of Inverted Nipple with Subareolar Abscess: Usefulness of High-Resolution MRI for Preoperative Evaluation

Comparison of Conservative versus Surgical Treatment Protocols in Treating Idiopathic Granulomatous Mastitis: A Meta-Analysis

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