Rate of malignancies in breast abscesses and argument for ultrasound drainage
| Autor: | Bradford G. Scott, Brian K. Lassinger, Huang Q. Pham, Mark A. Feanny, Mathew M. Carrick, Eric J. Silberfein, Francis J. Welsh |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Urban Population medicine.medical_treatment Mammary gland Breast Neoplasms Malignancy Diagnosis Differential Breast Diseases Breast cancer Incision and drainage Biopsy Medicine Humans Derivation Breast Abscess Child Aged Retrospective Studies medicine.diagnostic_test business.industry Biopsy Needle Retrospective cohort study General Medicine Middle Aged bacterial infections and mycoses medicine.disease Surgery medicine.anatomical_structure Drainage Female business |
| Zdroj: | American journal of surgery. 192(6) |
| ISSN: | 1879-1883 |
| Popis: | Background Biopsy of a breast abscess wall has been performed for years without evidence. Aspiration of breast abscesses has been increasing in popularity without widespread acceptance. Methods A 10-year retrospective review of 206 surgical biopsies after incision and drainage of breast abscesses. A literature review of breast abscess treated with ultrasound-guided aspiration. Results Over 10 years, 4.37% (9/206) patients were diagnosed with malignancy in the abscess cavity wall tissue. None of the 197 patients with a negative biopsy returned with breast cancer. Single, multiple, and combined aspiration success rates of 79.8% (364/458), 11.0% (50/458), and 90.9% (482/532) with surgical intervention necessary in 9.1% (50/532). Ultrasound versus hand guidance (92.5% versus 81.9 %, P Conclusions The rate of associated malignancies with breast abscess is very low and does not warrant mandatory surgical drainage. The use of ultrasound-directed aspiration of breast abscesses is effective and should be first-line therapy. |
| Databáze: | OpenAIRE |
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