title: Subareolar breast abscesses: characteristics and results of surgical treatment.
abstract: Our objective was to describe the characteristics of subareolar breast abscesses and to analyze the results of surgical treatment in relation to the prevention of recurrences. Almost 70% of patients smoked more than 10 cigarettes a day. The recurrence rate after excision of the lactiferous ducts was 28% and after management without excision of the lactiferous ducts was 79% (p < 0.001). Gram-positive bacteria were isolated more frequently in primary subareolar breast abscesses (not significant). Anaerobic microorganisms were more frequently cultured in recurring subareolar breast abscesses (p = 0.02). Definitive treatment of subareolar breast abscesses should consist of excision of the affected lactiferous ducts.
authors.affiliation: Department of Surgery, Máxima Medical Center, PO Box 7777, 5500 MB Veldhoven, The Netherlands. fnl.versluijs@xs4all.nl
authors.forename: F N Lesanka
authors.initials: FN
authors.lastname: Versluijs-Ossewaarde
authors.forename: Rudi M H
authors.initials: RM
authors.lastname: Roumen
authors.forename: R J A
authors.initials: RJ
authors.lastname: Goris
mesh_terms: D000038:Abscess / Q000453:epidemiology / Q000382:microbiology / Q000473:pathology* / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008413:Mastitis / Q000453:epidemiology / Q000382:microbiology / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D009558:Nipples; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome