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Mammillary fistula.

M E Lambert, C D Betts, R A Sellwood

    The British Journal of Surgery
    |May 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Mammillary fistulae, often preceded by multiple abscesses, require clinical suspicion. Surgical treatment, such as laying open or track excision, shows a low recurrence rate for these nipple-adjacent fistulae.

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    Area of Science:

    • Surgical Pathology
    • Breast Surgery

    Background:

    • Mammillary fistulae are uncommon but can present insidiously.
    • Multiple preceding abscesses are typical before fistula recognition.
    • Fistulae may present as discharging openings or, more commonly, as subareolar abscesses.

    Purpose of the Study:

    • To evaluate the clinical presentation and treatment outcomes of mammillary fistulae.
    • To emphasize the importance of suspecting fistulae in patients with recurrent periareolar abscesses.

    Main Methods:

    • Retrospective review of 38 patients with 52 mammillary fistulae over a 6-year period.
    • Analysis of presenting symptoms, including preceding abscesses.
    • Evaluation of surgical treatment methods: laying open or track excision.
    • Assessment of recurrence rates at a mean follow-up of 25 months.

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    Main Results:

    • An average of 5 abscesses preceded fistula diagnosis (range 1-18).
    • Fistulae were immediately apparent in 11 cases; others presented as subareolar abscesses.
    • Recurrence occurred in only one case after surgical intervention.

    Conclusions:

    • Mammillary fistulae should be considered in patients with abscesses near the nipple.
    • Surgical management offers a low recurrence rate for mammillary fistulae.