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Periareolar abscess in the nonlactating breast

W P Maier, A Berger, B M Derrick

    American Journal of Surgery
    |September 1, 1982
    PubMed

    Insights

    Treating periareolar abscesses in nonlactating women requires excising the sinus tract to prevent recurrence. Simple drainage is often insufficient for a complete cure, ensuring better patient outcomes.

    Area of Science:

    • General Surgery
    • Breast Surgery
    • Infectious Disease

    Background:

    • Periareolar abscesses in nonlactating women often involve a sinus tract communicating with the nipple.
    • This sinus tract is a common source of recurrent infections if not adequately treated.

    Purpose of the Study:

    • To evaluate the effectiveness of sinus tract excision in treating periareolar abscesses in nonlactating women.
    • To determine if concurrent correction of inverted nipples improves outcomes.

    Main Methods:

    • Retrospective review of 32 patients with periareolar abscesses treated between 1970 and 1980.
    • Analysis of follow-up data for 21 patients, including recurrence rates and patient satisfaction.

    Main Results:

    • Nineteen of 21 patients experienced no recurrence after treatment involving sinus tract excision.
    • Two patients required secondary procedures for complete resolution.
    • Only one patient reported dissatisfaction with the surgical outcome; no mastectomies were necessary.

    Conclusions:

    • Excision of the sinus tract, with concurrent correction of inverted nipples when present, is crucial for preventing reinfection.
    • Simple incision and drainage or abscess excision alone are generally inadequate for treating these conditions.
    • This surgical approach leads to high rates of cure and patient satisfaction.

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