Rate of malignancies in breast abscesses and argument for ultrasound drainage.

Abstract:

BACKGROUND:Biopsy of a breast abscess wall has been performed for years without evidence. Aspiration of breast abscesses has been increasing in popularity without widespread acceptance. METHODS:A 10-year retrospective review of 206 surgical biopsies after incision and drainage of breast abscesses. A literature review of breast abscess treated with ultrasound-guided aspiration. RESULTS:Over 10 years, 4.37% (9/206) patients were diagnosed with malignancy in the abscess cavity wall tissue. None of the 197 patients with a negative biopsy returned with breast cancer. Single, multiple, and combined aspiration success rates of 79.8% (364/458), 11.0% (50/458), and 90.9% (482/532) with surgical intervention necessary in 9.1% (50/532). Ultrasound versus hand guidance (92.5% versus 81.9 %, P < .01) improved success rate. CONCLUSIONS:The rate of associated malignancies with breast abscess is very low and does not warrant mandatory surgical drainage. The use of ultrasound-directed aspiration of breast abscesses is effective and should be first-line therapy.

journal_name

Am J Surg

authors

Scott BG,Silberfein EJ,Pham HQ,Feanny MA,Lassinger BK,Welsh FJ,Carrick MM

doi

10.1016/j.amjsurg.2006.08.060

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

869-72

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(06)00614-3

journal_volume

192

pub_type

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