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Breast J. 2005 May-Jun;11(3):179-82.

Subareolar breast abscesses: characteristics and results of surgical treatment.

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1
Department of Surgery, Máxima Medical Center, PO Box 7777, 5500 MB Veldhoven, The Netherlands. fnl.versluijs@xs4all.nl

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.

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