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Male Zuska's disease
Shepard P Johnson1, Christodoulos Kaoutzanis, George A Schaub
1Department of General Surgery, Saint Joseph Mercy Health System, Ann Arbor, Michigan, USA.
BMJ Case Reports
|April 8, 2014
Summary
Subareolar abscesses in men can involve a mammillary fistula. Complete surgical excision of the fistula is the most effective treatment, preventing recurrence and prolonged morbidity.
Area of Science:
- General Surgery
- Male Breast Conditions
Background:
- Subareolar abscesses in men are rare and can present with a fistula into a lactiferous duct.
- Literature on male mammillary fistulas is scarce, lacking standardized treatment protocols.
Observation:
- Two cases of recurrent subareolar abscesses with draining fistulas in male patients are presented.
- Both patients exhibited a fistula from the areolar skin into a lactiferous duct.
Findings:
- Successful treatment was achieved through complete excision of the lactiferous duct fistula.
- Patients showed no evidence of disease recurrence post-surgery.
Implications:
- A high index of suspicion for mammillary fistula is crucial in male patients with draining subareolar abscesses.
- Failure to excise the fistula can lead to recurrent abscesses and increased patient morbidity.
- Complete surgical excision of the lactiferous duct fistula is the recommended management for this condition.
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