Zuska's disease in a male patient. The critical role of ultrasound imaging in diagnosis and management of this rare entity.

Autor:	Gkionis IG; Department of General Surgery, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion 71409, Crete, Greece., Giakoumakis MI; Department of General Surgery, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion 71409, Crete, Greece., Liva D; Department of Radiology and Imaging Diagnostics, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion, Crete, Greece., Tsioulos G; Department of Radiology and Imaging Diagnostics, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion, Crete, Greece., Matalliotakis M; Department of Obstetrics and Gynaecology, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion, Crete, Greece., Vrontaki M; Department of Cytopathology, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion, Crete, Greece., Giakoumakis KI; Medical School, University of Crete, Andrea Kalokerinou 13, Heraklion, Crete, Greece., Cavallo G; Department of Radiology and Imaging Diagnostics, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion, Crete, Greece., Laliotis A; Department of General Surgery, Venizeleio General Hospital, Leoforos Knossou 44, Heraklion 71409, Crete, Greece.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2023 Apr 07; Vol. 18 (6), pp. 2149-2153. Date of Electronic Publication: 2023 Apr 07 (Print Publication: 2023).
DOI:	10.1016/j.radcr.2023.03.010
Abstrakt:	Zuska's disease is a pathologic entity characterized by the formation of subareolar breast abscess caused by the obstruction of lactiferous ducts. Although Zuska's disease is found relatively often in female patients, only 19 male cases have been reported. That makes Zuska's diagnosis challenging in males, leading to significant morbidity and high recurrence rates. Clinical evaluation and imaging techniques, especially ultrasound and mammography, are considered the cornerstones for the diagnosis of Zuska's disease, whereas fine-needle aspiration cytology is necessary in order to exclude malignancy. Multiple treatment approaches have been used including conservative antibiotic therapy, drainage of the abscess and surgical excision of the lactiferous ducts. We present the case of a 57 year old male who was diagnosed with Zuska's disease and treated via ultrasound-guided drainage of the abscess. Having a high level of suspicion, performing appropriate imaging tests and offering definite treatment, is the only way to decrease morbidity and recurrence. (© 2023 The Authors. Published by Elsevier Inc.)
Databáze:	MEDLINE
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