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[Chronic recurrent subareolar abscess formation].

C Boeckxstaens, J Gruwez, A M Depauw

    Acta Chirurgica Belgica
    |July 1, 1984
    PubMed
    Summary
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    Chronic recurrent subareolar abscesses, often seen in younger women, stem from squamous metaplasia. Surgical excision of diseased milk sinuses is crucial for chronic cases, distinguishing them from ductal ectasia.

    Area of Science:

    • Breast pathology
    • Surgical oncology

    Background:

    • Chronic recurrent subareolar abscess is an uncommon breast condition.
    • It typically affects younger women and is unrelated to lactation.
    • Inverted nipples are a consistent clinical finding.

    Observation:

    • The condition presents with chronic evolution and acute exacerbations.
    • Abscesses may rupture spontaneously, require drainage, or respond to antibiotics.
    • Squamous metaplasia of milk sinus epithelium, leading to keratin plugging and retroareolar abscess, is the underlying pathology.

    Findings:

    • Distinguishing chronic recurrent subareolar abscess from other conditions like comedo mastitis (ductal ectasia) is essential.
    • Acute forms are treated with antibiotics and potentially incision and drainage.

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  • Chronic forms necessitate surgical excision of affected milk sinuses and nipple tissue.

    • Implications:

    • Accurate diagnosis and appropriate treatment are vital to prevent unnecessary surgical mutilation.
    • Surgical intervention, including extensive milk sinus excision, is mandatory for chronic presentations.
    • Understanding the pathogenesis aids in differentiating and managing this distinct breast disease.