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[Non-lactational mastitis: our experience].

Maria Antonietta Gioffrè Florio1, Fausto Famà, Giancarlo Buccheri

  • 1Chirurgia Generale, Policlinico Universitario "G. Martino", Messina. mgioffre@unime.it

Annali Italiani Di Chirurgia
|December 7, 2006
PubMed
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Non-lactational mastitis, often mimicking breast cancer, presents diagnostic challenges. Surgical intervention is definitive for these inflammatory breast conditions, including Mammary Ducts Associated Inflammatory Diseases Sequence (MDAIDS).

Area of Science:

  • Oncology
  • Pathology
  • Surgical Science

Background:

  • Breast inflammatory diseases, including lactational and non-lactational mastitis, frequently mimic breast cancer, complicating diagnosis.
  • Non-lactational mastitis is more prevalent during menopausal and postmenopausal periods.
  • Mammary Ducts Associated Inflammatory Diseases Sequence (MDAIDS) represents a distinct inflammatory breast condition linked to heavy smoking.

Purpose of the Study:

  • To analyze clinical experiences with 830 cases of non-lactational mastitis.
  • To investigate the diagnostic challenges and treatment outcomes for inflammatory breast diseases.
  • To characterize Mammary Ducts Associated Inflammatory Diseases Sequence (MDAIDS) and its association with smoking.

Main Methods:

  • Retrospective analysis of 830 clinical cases of non-lactational mastitis.

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  • Diagnosis by clinical examination, ultrasound, mammography, cytology, and post-operative histological evaluation.
  • Surgical treatment including incision, drainage, or excision.

    • Main Results:

    • Superficial abscesses (804 cases) and phlegmons (24 cases) were the primary presentations of non-lactational mastitis.
    • Infectious causes identified in 379 cases, predominantly Streptococcus/Pseudomonas (249) and Staphylococcus Aureus (30).
    • MDAIDS observed in 178 cases, characterized by duct ectasia, squamous metaplasia, lymphoid infiltration, and strong correlation with heavy smoking.

    Conclusions:

    • Non-lactational mastitis and MDAIDS often require surgical treatment for definitive diagnosis and management.
    • Clinical presentation and instrumental investigations can be inconclusive, highlighting the role of surgery.
    • Early consultation for symptoms like mastalgia and secretions is crucial for timely specialist evaluation.