Periductal mastitis and sub-areolar abscess of the breast
DOI:
https://doi.org/10.21615/cesmedicina.5867Keywords:
Mastitis, Infection, Abscess, Breast, Periductal mastitisAbstract
Mastitis is defined as inflammation of the breast associated or not with infection. Lactational mastitis is the most common inflammatory disease of the breast; however, inflammatory processes not associated with lactation, clinically similar and sometimes indistinguishable, but with a chronic and recurrent evolution, with subareolar abscess formation, should not be forgotten. Polymicrobial bacterial infection is frequently found, strongly associated with smoking. Delay in diagnosis can lead to damage to the function or structure of the breast and permanent sequelae. The clinical similarity with locally advanced cancer and inflammatory carcinoma of the breast makes it necessary to exclude them. Definitive treatment requires drainage and surgical resection of the fistula to reduce the risk of recurrence. This review presents the most relevant and updated aspects of the disease to provide elements for its diagnostic and therapeutic approach.
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Bonilla Sepúlveda ÓA. Mastitis puerperal. Medicina UPB. 2020;38(2): 140-146. https://doi.org/10.18566/medupb.v38n2.a06.
Laas E, Touboul C, Kerdraon O, Catteau-Jonard S. Mastites inflammatoires et infectieuses du sein en dehors de la grossesse et de la période d’allaitement : recommandations. J Gynécologie Obstétrique Biol Reprod. 2015;44(10):996–1016.
Blackmon MM, Nguyen H, Mukherji P. Acute Mastitis. 2021. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021.
Kamal RM, Hamed ST, Salem DS. Classification of inflammatory breast disorders and step by step diagnosis. Breast J 2009; 15:367-380.
Zuska JJ, Crile G Jr, Ayres WW. Fistulas of lactiferous ducts. Am J Surg 1951; 81:312–317.
AbdelHadi MSA, Bukharie HA. Breast infections in non-lactating women. J Family Community Med 2005; 12:133-137.
Lannin DR. Twenty-two year experience with recurring subareolar abscess and lactiferous duct fistula treated by a single breast surgeon. Am J Surg 2004; 188:407–410. DOI: 10.1016/j.amjsurg.2004.06.036.
Bonilla-Sepúlveda OA. Mastitis no puerperal en centro de referencia en Medellín (Colombia). Rev Peru Ginecol Obstet. 2020;66(4). DOI: https://doi.org/10.31403/rpgo.v66i2284.
Dixon JM. ABC of breast diseases: Breast Infection. BMJ 1994;309: 946-949.
Rizzo M, Gabram S, Staley C, Peng L, Frisch A, Jurado M, Umpierrez G. Management of breast abscesses in nonlactating women. Am Surg 2010; 76: 292-295.
Liu L, Zhou F, Wang P, Yu L, Ma Z, Li Y, et al. Periductal mastitis: An Inflammatory disease related to bacterial infection and consequent immune responses? Mediators Inflamm. 2017;2017:1–9.
Gollapalli V, Liao J, Dudakovic A, Sugg SL, Scott-Conner CE, Weigel RJ. Risk factors for development and recurrence of primary breast abscesses. J Am Coll Surg 2010; 211: 41-48.
Meguid MM, Oler A, Numann PJ, Khan S. Pathogenesis- based treatment of recurring subareolar breast abscesses. Surgery 1995; 118:775–782.
Jacobs VR, Golombeck K, Jonat W, Kiechle M. Mastitis nonpuerperalis after nipple piercing: time to act. Int J Fertil Womens Med 2003; 48: 226-231.
Ramalingam K, Srivastava A, Vuthaluru S, Dhar A, Chaudhry R. Duct Ectasia and periductal mastitis in Indian women. Indian J Surg. 2015;77(S3):957–62.
Moazzez A, Kelso RL, Towfigh S, Sohn H, Berne TV, Mason RJ. Breast abscess bacteriologic features in the era of community-acquired methicillin-resistant Staphylococcus aureus epidemics. Arch Surg 2007; 142:881-884.
Stavros AT, Rapp CL, Parker SH. Breast ultrasound. Philadelphia, PA: Lippincott Williams and Wilkins, 2004:83–88.
Berná-Serna JD, Berná-Mestre JD. Follicular occlusion due to hyperkeratosis: a new hypothesis on the pathogenesis of mammillary fistula. Med Hypotheses 2010; 75:553–554.
Zhang Y, Zhou Y, Mao F, Guan J, Sun Q. Clinical characteristics, classification and surgical treatment of periductal mastitis. J Thorac Dis. 2018;10(4):2420–7.
Dixon JM. Periductal mastitis/duct ectasia. World J Surg 1989; 13:715–720. DOI: 10.1007/BF01658420.
Scholefield JH, Duncan JL, Rogers K. Review of a hospital experience of breast abscesses. Br J Surg 1987; 74:469–470.
Hanavadi S, Pereira G, Mansel RE. How mammillary fistulas should be managed. Breast J 2005; 11:254–256. DOI: 10.1111/j.1075-122X.2005.21641.x.
Bundred NJ, Dover MS, Coley S, Morrison JM. Breast abscesses and cigarette smoking. Br J Surg 1992; 79:58–59.
Beechey-Newman N, Kothari A, Kulkarni D, Hamed H, Fentiman IS. Treatment of mammary duct fistula by fistulectomy and saucerization. World J Surg 2006; 30: 63-68.
Tan H, Li R, Peng W, Liu H, Gu Y, Shen X. Radiological and clinical features of adult non-puerperal mastitis. Br J Radiol. 2013;86(1024):20120657.
Renz DM, Baltzer PA, Böttcher J, Thaher F, Gajda M, Camara O, Runnebaum IB, Kaiser WA. Magnetic resonance imaging of inflammatory breast carcinoma and acute mastitis. A comparative study. Eur Radiol. 2008;18(11):2370-80.
Ozseker B, Ozcan UA, Rasa K, Cizmeli OM. Treatment of breast abscesses with ultrasound-guided aspiration and irrigation in the emergency setting. Emerg Radiol 2008; 15: 105-108.
Dixon JM, Khan LR. Treatment of breast infection. BMJ. 2011;342:d396.
Versluijs-Ossewaarde FN, Roumen RM, Goris RJ. Subareolar breast abscesses: characteristics and results of surgical treatment. Breast J 2005;11:179–182.
Taffurelli M, Pellegrini A, Santini D, Zanotti S, Di Simone D, Serra M. Recurrent periductal mastitis: Surgical treatment. Surgery. 2016;160(6):1689–92.
Christensen AF, Al-Suliman N, Nielsen KR, et al. Ultrasound-guided drainage of breast abscesses: results in 151 patients. Br J Radiol 2005; 8:186-188.
Berna-Serna JD, Madrigal M, Berna-Serna JD. Percutaneous management of breast abscesses: an experience of 39 cases. Ultrasound Med Biol 2004; 30:1–6.
Sakorafas GH. Nipple discharge: current diagnostic and therapeutic approaches. Cancer Treat Rev. 2001;27(5):275-82. doi: 10.1053/ctrv.2001.0234.
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