title: Sonographically guided triamcinolone injection for the treatment of chronic post-operative mammillary fistula.
abstract: We describe ultrasound-guided intralesional triamcinolone (ILT) injection for the management of chronic post-operative mammillary fistula (MF). Seven patients with chronic post-operative intraglandular MF were enrolled in this study. The initial response to treatment was assessed as complete in three cases; of the remaining four, three were resolved successfully with an additional ILT injection and the other had no resolution with an additional ILT injection. In five cases there was no recurrence after more than 1 year of follow-up. One patient had recurrence at 7 months, which was treated with a further ILT injection; this patient is without recurrence after a further 9 months' follow-up. This simple, safe procedure is suggested as an option for the treatment of chronic post-operative intraglandular MF and may be an alternative to surgery.
authors.affiliation: Department of Radiology, Virgen de la Arrixaca University Hospital, El Palmar, Murcia, Spain. jdberna@gmail.com
authors.forename: J D
authors.initials: JD
authors.lastname: Berná-Serna
authors.forename: J D
authors.initials: JD
authors.lastname: Berná-Mestre
authors.forename: A
authors.initials: A
authors.lastname: Piñero
mesh_terms: D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D001941:Breast Diseases / Q000188:drug therapy*; D002908:Chronic Disease; D005260:Female; D005402:Fistula / Q000188:drug therapy*; D006801:Humans; D015552:Injections, Intralesional; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy*; D016896:Treatment Outcome; D014221:Triamcinolone / Q000008:administration & dosage*; D018084:Ultrasonography, Interventional
chemical_list: D000893:Anti-Inflammatory Agents; D014221:Triamcinolone