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Asian J Surg. 2007 Jan;30(1):40-4.

Aspiration of breast abscess under ultrasound guidance: outcome obtained and factors affecting success.

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  • 1Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. faiselelagili@yahoo.com

Abstract

OBJECTIVE:

To assess ultrasonographically (US) guided needle aspiration of breast abscesses as an alternative to surgical incision and drainage.

METHODS:

In our prospective study, 30 patients with 31 breast abscesses (one patient had bilateral breast abscess) underwent percutaneous breast abscess drainage under US guidance with local anaesthesia and oral antibiotics between 1 January 2004 and 31 March 2005. These patients consisted of 16 (53.3%) non-lactating and 14 (46.7%) lactating women, with ages ranging from 18 to 68 years (median, 28 years). The racial distribution comprised 26 (86.7%) Malays, three (10%) Chinese and one (3.3%) Indian. All patients had the chief complaint of breast swelling and 25 (83.3%) had breast pain. Clinically, 28 (93.3%) were found to have a palpable mass. Nine (30%) lesions were in the upper outer quadrant of the left breast. US diameters ranged from 1 to 15 cm (median, 4 cm). The pus volumes varied from 1 to 200 mL (median, 14 mL).

RESULTS:

Fifteen (50%) patients required only a single aspiration, 10 required multiple aspirations and five required incision and drainage. Those patients in whom needle aspiration failed had multiloculated lesions irrespective of abscess volume and size.

CONCLUSION:

Needle aspiration with ultrasound guidance is an effective treatment for breast abscess irrespective of abscess volume and size.

PMID:
17337370
DOI:
10.1016/S1015-9584(09)60126-3
[PubMed - indexed for MEDLINE]
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