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In a recent review article, antibiotics treatment, ultrasound evaluation and, if fluid is present, ultrasound-guided fine needle aspiration of the abscess with an 18 gauge needle, under saline lavage until clear, has been suggested as initial line of treatment for breast abscess in puerperal and non-puerperal cases including central (subareolar ...
Nonpuerperal breast abscesses have a higher rate of recurrence compared to puerperal breast abscesses. [6] There is a high statistical correlation of nonpuerperal breast abscess with diabetes mellitus (DM). On this basis, it has recently been suggested that diabetes screening should be performed on patients with such abscesses. [7] [8]
It is noted, however, that even the excision of the affected ducts does not necessarily prevent recurrence. [48] Nonpuerperal breast abscesses have a higher rate of recurrence compared to puerperal breast abscesses. [49] There is a high statistical correlation of nonpuerperal breast abscess with diabetes mellitus (DM). On this basis, it has ...
For surgical treatment, recurrence rates of 5 - 50% have been reported. [4] Treatment with a combination of glucocorticoids and prolactin lowering medications such as bromocriptine or cabergoline, was used with good success in Germany. [22] Prolactin-lowering medication has also been reported to reduce the risk of recurrence. [23]
The periareolar glands of Montgomery in the breast are also called Montgomery tubercles or Morgagni tubercles. These periareolar glands are small, papular tissue projections at the edge of the areola (nipple).Obstruction of the Montgomery tubercles may result in an acute inflammation, a clear or light brownish fluid may drain out of the areola (nipple discharge), and an subareolar mass may ...
Repeated aspirations of an abscess are preferable in those with multiple abscesses or when the abscess is located in a predominate brain site. Administration of antimicrobials in a high-dose for an extended period of time can offer an alternative treatment strategy in this type of patients and may substitute for surgical evacuation of an abscess.
Infection in a breast, either mastitis or breast abscess may cause a discharge. [1] [3] Eczema of the nipple may result in a discharge with crusting of the nipple skin. [5] Nipple discharge may be due to breast cancer, particularly if there is an accompanying breast lump. [4] A blood-stained discharge may appear in Paget's disease. [5]
Seroma is the most common surgical complication after breast surgery. It is due to the presence of rich lymphatic system in the breast, low fibrinogen levels in lymph fluid and potential space creation in the breast after surgery, which contributes to seroma formation. Seroma is more common in older and obese people. [7]