Breast and Endocrine Surgery
Kaji Sritharan, Samia Ijaz, Neil Russell, Tim Allen-Mersh in 300 Essentials SBAs in Surgery, 2017
Mastitis is commonly associated with breastfeeding. The underlying aetiology is milk stasis, and this can be complicated with infection. Staphylococcus aureus and Staphylococcus albus are the most commonly implicated organisms. Clinical features include breast pain, erythema and swelling with/without fever; a breast abscess may also be present.
The female reproductive system
Peter Kopelman, Dame Jane Dacre in Handbook of Clinical Skills, 2019
Breast pain (Table 7.1) Severe breast pain of a few days’ duration suggests infection (mastitis), which may progress to abscess formation. The patient may be breast-feeding or may have a history of previous similar episodes. Physical examination will reveal tenderness, induration, heat and redness of the overlying skin.
Breast cancer
Peter Hoskin, Peter Ostler in Clinical Oncology, 2020
This comprises only 2% of all cases of breast cancers. Clinically, there is ill-defined erythema, tenderness, induration and oedema (Figure 8.1). It may be misdiagnosed as a breast abscess. Microscopically, there is invasion of dermal lymphatics by tumour cells. It behaves aggressively with a high rate of local recurrence and distant metastases.
Diagnosis and Treatment of 75 Patients with Idiopathic Lobular Granulomatous Mastitis
Published in Journal of Investigative Surgery, 2019
Jieqing Li
Most reports suggested that surgery is still the main treatment for IGLM. Based on the resection sizes from small to large, the surgeries include breast abscess incision and drainage, extensive lumpectomy, quadrantectomy and ipsilateral masctectomy, and the first stage of plastic surgery according to the patient's wishes.23 Since breast abscess incision and drainage may not completely remove the lesion area, the wound may not be easy to heal, which may produce fistula, surgery is only suitable for the treatment of patients with larger abscess to shrink the lesion in order to facilitate secondary surgical resection. We believe that extensive lumpectomy and quadrantectomy are suitable for most patients. Because IGLM is a benign disease, simple mastectomy must not be accepted by the majority of patients. In this study, only one patient accepted the procedure, because of previous breast surgery, which had removed the part of the breast tissue. Because the patient suffered from IGLM in a larger range, and because a glandular flap repair could not achieve satisfactory results, and her financial conditions could not support the first phase plastic surgery, she chose ipsilateral masctectomy.
New Insights of Corynebacterium kroppenstedtii in Granulomatous Lobular Mastitis based on Nanopore Sequencing
Published in Journal of Investigative Surgery, 2022
Xin-Qian Li, Jing-Ping Yuan, Ai-Si Fu, Hong-Li Wu, Ran Liu, Tian-gang Liu, Sheng-Rong Sun, Chuang Chen
The samples were obtained by ultrasound guidance for puncture or biopsy in the breast abscess or hypoechoic mass [24]. The breast pus or tissues were separated into two samples: one was used for nanopore sequencing, and the other for bacterial culture. If the patients did not develop pus or abscesses, we collected tissues for detection. All operations were performed under aseptic conditions. Gram staining were carried out on 42 FFPE tissues from 39 patients. A 4 μm section cut from each FFPE tissue were used for staining.
The effectiveness of needle aspiration versus traditional incision and drainage in the treatment of breast abscess: a meta-analysis
Published in Annals of Medicine, 2023
Fei Zhou, Zhaohui Li, Liyuan Liu, Fei Wang, Lixiang Yu, Yujuan Xiang, Chao Zheng, Shuya Huang, Zhigang Yu
Breast abscess refers to inflammation of the breast and is divided into puerperal and non-puerperal breast abscesses. A puerperal breast abscess is an acute inflammation of the breast caused by pregnancy or breastfeeding, which affects 0.4–11% of breastfeeding women [1]. A non-puerperal breast abscess is an inflammation of the breast in non-breastfeeding women. The two main causes of non-puerperal breast abscess are granulomatous lobular mastitis and periductal mastitis, both of which mainly affect young women.
Related Knowledge Centers
- Abscess
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- Cracked Nipple
- Weaning