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


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.


Am J Surg


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




Has Abstract


2006-12-01 00:00:00














  • The fate of unscreened women in colon cancer: impact on staging and prognosis.

    abstract:BACKGROUND:Several nationwide reports show lower female participation in colon cancer screening. We therefore assessed for outcome differences in women of screening age presenting for surgical treatment of colon cancer patients. METHODS:All patients over 50 years undergoing surgery for first-onset colon cancer at Mass...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Amri R,Bordeianou LG,Sylla P,Berger DL

    更新日期:2015-06-01 00:00:00

  • Increasing incidence of complicated appendicitis during COVID-19 pandemic.

    abstract:BACKGROUND:The novel coronavirus (COVID-19) strain has resulted in restrictions potentially impacting patients presenting with acute appendicitis and their disease burden. METHODS:All acute appendicitis admissions (281 patients) between 1/1/2018-4/30/2020 were reviewed. Two groups were created: 6 weeks before (Group A...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Orthopoulos G,Santone E,Izzo F,Tirabassi M,Pérez-Caraballo AM,Corriveau N,Jabbour N

    更新日期:2020-09-28 00:00:00

  • Hand-assisted laparoscopic surgery versus open surgery for colorectal disease: a systematic review and meta-analysis.

    abstract:BACKGROUND:Laparoscopic colorectal surgery remains one of the most challenging techniques to learn. METHODS:The authors collected studies that have compared hand-assisted laparoscopic surgery (HALS) and open surgery for the treatment of colorectal disease over the past 17 years. Data of interest for HALS and open surg...

    journal_title:American journal of surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Ding J,Xia Y,Liao GQ,Zhang ZM,Liu S,Zhang Y,Yan ZS

    更新日期:2014-01-01 00:00:00

  • Mediastinal microdialysis in the diagnosis of early anastomotic leakage after resection for cancer of the esophagus and gastroesophageal junction.

    abstract:BACKGROUND:Anastomotic leakage (AL) after gastroesophageal resection for cancer is a serious complication. The aim was to evaluate mediastinal microdialysis in the detection of AL before clinical symptoms. METHODS:Sixty patients were included. Samples were collected every 4 hours in the 1st 8 postoperative days and an...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Ellebæk M,Qvist N,Fristrup C,Mortensen MB

    更新日期:2014-09-01 00:00:00

  • Six-year experience: long-term disease control outcomes for partial breast irradiation using MammoSite balloon brachytherapy.

    abstract:BACKGROUND:This report describes estimated 4-year tumor bed and ipsilateral breast recurrence-free intervals, event-free survival, disease-specific survival, and overall survival in a cohort of MammoSite brachytherapy (MBT) patients with mature follow-up treated at a single institution over a 6-year period. METHODS AN...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Harper JL,Watkins JM,Zauls AJ,Wahlquist AE,Garrett-Mayer E,Baker MK,Cole DJ,Dragun AE,Jenrette JM 3rd

    更新日期:2010-02-01 00:00:00

  • Combined modality therapy utilizing a cisplatin combination for effective chemotherapy in patients with previously untreated head and neck cancer.

    abstract::In patients with locally advanced head and neck cancer, the results of standard definitive treatments of surgery, radiotherapy, or both were disappointing. The local and regional recurrence rates were high, despite adequate surgical resection with negative margins and postoperative radiotherapy to all known or possibl...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Jacobs JR,Kish J,Ensley JF,Ahmad K,Weaver A,Crissman J,Al-Sarraf M

    更新日期:1986-10-01 00:00:00

  • Use of the barium enema in the diagnosis of acute appendicitis and its complications.

    abstract::The value of barium enema examination in diagnosing acute appendicitis in patients with equivocal findings has been confirmed by our experience with five patients. Cecal spasm, extrinsic compression of the cecum, nonvisualization of the appendix, and partial visualization of the appendix appear to be useful roentgenog...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Smith DE,Kirchmer NA,Stewart DR

    更新日期:1979-12-01 00:00:00

  • Incidence of and risk factors for anastomotic leakage after laparoscopic anterior resection with intracorporeal rectal transection and double-stapling technique anastomosis for rectal cancer.

    abstract:BACKGROUND:Laparoscopic rectal cancer surgery involving rectal division with intracorporeal stapling devices is technically difficult. This study aimed to identify risk factors for anastomotic leakage associated with laparoscopic anterior resection for rectal cancer. METHODS:We studied 363 patients who underwent lapar...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Akiyoshi T,Ueno M,Fukunaga Y,Nagayama S,Fujimoto Y,Konishi T,Kuroyanagi H,Yamaguchi T

    更新日期:2011-09-01 00:00:00

  • Five hundred open taps or lavages in patients with abdominal stab wounds.

    abstract::From 1980 to 1984, 500 asymptomatic patients with anterior abdominal stab wounds found to have penetrated the anterior peritoneal cavity on local wound exploration in the emergency center were evaluated by the technique of open peritoneal tap, quantitative diagnostic peritoneal lavage, or both. The technique was found...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Feliciano DV,Bitondo CG,Steed G,Mattox KL,Burch JM,Jordan GL Jr

    更新日期:1984-12-01 00:00:00

  • Low anterior resection with anastomosis by endorectal pull-through. Another look at Black's operation.

    abstract::The type of endorectal pull-through described by Black was evaluated as an alternative method of anastomosis in 11 anterior resections in which anastomosis from above was impossible. The method is attractive from the standpoint of function because it preserves the distal rectum and leaves the anus intact. Technical po...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Garnjobst W,Sullivan ES

    更新日期:1979-07-01 00:00:00

  • Mesenchymal tumor hypoglycemia: the effect of a tumor tissue extract on the insulin and glucagon secretion from the isolated perfused porcine pancreas.

    abstract::Severe fasting hypoglycemia and hypoinsulinemia occurred in a sixty-six year old woman with an intrahepatic mesenchymal tumor. An extract from the tumor was potent in inhibiting the arginine-induced glucagon secretion from the isolated perfused porcine pancreas. This observation supports the theory recently advanced t...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Jensen SL,Kühl C,Lauritsen KB,Moody AJ

    更新日期:1978-02-01 00:00:00

  • Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures.

    abstract:BACKGROUND:We hypothesized that early use of external mechanical compression (EMC) reduces hemorrhage and mortality associated with pelvic fractures. METHODS:Patients with pelvic fractures and one of the following risk factors for hemorrhage were studied retrospectively: (1) unstable fracture pattern, or (2) any fract...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ghaemmaghami V,Sperry J,Gunst M,Friese R,Starr A,Frankel H,Gentilello LM,Shafi S

    更新日期:2007-12-01 00:00:00

  • The influence of ischemic bowel wall damage on translocation, inflammatory response, and clinical course.

    abstract:BACKGROUND:While vascular patency and overall viability of the gut can be evaluated perioperatively, damage to the mucosal barrier can hardly be judged in the perioperative setting and, moreover, will probably determine the clinical course. METHODS:In 19 consecutive cases with intestinal ischemia, the clinical course ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Schoeffel U,Baumgartner U,Imdahl A,Haering R,v Specht BU,Farthmann EH

    更新日期:1997-07-01 00:00:00

  • Self vs expert assessment of technical and non-technical skills in high fidelity simulation.

    abstract:BACKGROUND:Accurate assessment is imperative for learning, feedback and progression. The aim of this study was to examine whether surgeons can accurately self-assess their technical and nontechnical skills compared with expert faculty members' assessments. METHODS:Twenty-five surgeons performed a laparoscopic cholecys...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Arora S,Miskovic D,Hull L,Moorthy K,Aggarwal R,Johannsson H,Gautama S,Kneebone R,Sevdalis N

    更新日期:2011-10-01 00:00:00

  • Salvage after postoperative thrombosis of the carotid artery.

    abstract::When dense hemiparesis has developed appropriate to the operated vessel after carotid surgery, the patient has been immediately returned to the operating room for reexploration of the vessel and thrombectomy. Over a 5-year period, we identified four patients who developed dense hemiparesis in the recovery room postope...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Dooner J,Kuechler P

    更新日期:1990-05-01 00:00:00

  • Practice referral patterns and outcomes in patients with primary retroperitoneal sarcoma in British Columbia.

    abstract:BACKGROUND:We examined practice referral patterns for primary retroperitoneal sarcoma (PRS) in British Columbia (BC) and associations between the timing of referral to tertiary care and patient outcomes. METHODS:Using ICD-10 coding, the Cancer Agency Information System was used to identify patients with PRS from 2000 ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Merchant S,Cheifetz R,Knowling M,Khurshed F,McGahan C

    更新日期:2012-05-01 00:00:00

  • Hemorrhage after pancreaticoduodenectomy: when is surgery still indicated?

    abstract:BACKGROUND:This study analyzed presentation and management of hemorrhage after pancreaticoduodenectomy (PD) to determine the respective role of surgery and embolization. METHODS:From January 1992 to March 2005, 411 patients underwent PD and were analyzed with regard to postoperative hemorrhage. RESULTS:Hemorrhage occ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Blanc T,Cortes A,Goere D,Sibert A,Pessaux P,Belghiti J,Sauvanet A

    更新日期:2007-07-01 00:00:00

  • Infectious complications with the use of cyclosporine versus azathioprine after cadaveric kidney transplantation.

    abstract::Infectious complications within 1 year of cadaveric kidney transplantation were compared in 45 patients treated with azathioprine, prednisone, and antilymphocyte globulin and 38 patients treated with cyclosporine and prednisone. Although there was no difference in the 1 year patient or graft survival rate, cyclosporin...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Shaffer D,Hammer SM,Monaco AP

    更新日期:1987-04-01 00:00:00

  • A comparison of postoperative outcomes utilizing a continuous preperitoneal infusion versus epidural for midline laparotomy.

    abstract:BACKGROUND:Postoperative pain management with a continuous preperitoneal infusion (CPI) for locoregional anesthesia has been shown to have improved postoperative outcomes. This is the first direct comparison of CPI versus epidural infusion (EPI), both in conjunction with systemic analgesia. METHODS:A retrospective rev...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Gross ME,Nelson ET,Mone MC,Hansen HJ,Sklow B,Glasgow RE,Scaife CL

    更新日期:2011-12-01 00:00:00

  • Surgeon experience with laparoscopic-assisted colorectal surgery in Washington State.

    abstract:PURPOSE:To describe the current practice and opinions held by surgeons performing colorectal surgery in Washington regarding laparoscopic colorectal surgery. METHODS:After attempting to identify all surgeons with hospital privileges in colorectal surgery in Washington, a survey was sent to 303 surgeons. The survey ask...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Lauter DM,Serna S

    更新日期:2003-07-01 00:00:00

  • Chronic pain after mesh repair of inguinal hernia: a systematic review.

    abstract:BACKGROUND:Chronic pain is a severe complication of mesh-based inguinal hernia repair. Its perceived risk varies widely in the literature. The current objectives are to review the incidence, severity, and consequences of chronic pain and its etiologies. DATA SOURCES:A multi-database systematic search was conducted for...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Nienhuijs S,Staal E,Strobbe L,Rosman C,Groenewoud H,Bleichrodt R

    更新日期:2007-09-01 00:00:00

  • Role of intraoperative pancreatography in patients with injury to the pancreas.

    abstract::Over a 10 year period, 54 patients presented with pancreatic trauma. During the first 5 years of the study, when pancreatography was not utilized for the assessment of pancreatic duct injury, 55 percent of the patients had major pancreatic complications. During the subsequent 5 years, suspected proximal duct injury wa...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Berni GA,Bandyk DF,Oreskovich MR,Carrico CJ

    更新日期:1982-05-01 00:00:00

  • Mucinous cystic neoplasms of the pancreas in the modern era. Experience with 707 patients.

    abstract:BACKGROUND:Mucinous Cystic Neoplasms are mucin producing cysts of the pancreas with malignant potential. The existing literature on treatment outcomes is limited to relatively small surgical series. METHODS:We reviewed the National Cancer Database assessing the outcomes of patients with mucinous cystic neoplasms betwe...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ahmad M,Maegawa FB,De La Rosa E,Davis B,Tyroch A,Konstantinidis IT

    更新日期:2020-12-01 00:00:00

  • In situ saphenous vein bypass grafting. Experience in 34 extremities over a 2 year period.

    abstract::Over a 2 year period, 34 limbs were revascularized in 33 patients. The in situ saphenous vein technique was used. Improved instrumentation and patency rates have encouraged the use of this method. Eighteen patients were insulin-dependent diabetics. The indication for operation was limb salvage in 25 limbs (73 percent)...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hallin RW

    更新日期:1983-05-01 00:00:00

  • Short-term outcomes of laparoscopic versus open total gastrectomy: a matched-cohort study.

    abstract:BACKGROUND:This study was designed to compare short-term laparoscopic total gastrectomy (LTG) with open total gastrectomy (OTG) outcomes in gastric cancer. METHODS:Seventy patients who underwent total gastrectomy via LTG or OTG were included. All cases were matched for stage, age, and sex by means of statistically gen...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Shim JH,Oh SI,Yoo HM,Jeon HM,Park CH,Song KY

    更新日期:2013-09-01 00:00:00

  • Biliary pancreatitis: clinical presentation and surgical management.

    abstract::The presentation, surgical management, and clinical outcome in 153 patients with biliary pancreatitis has been reviewed. Only 37 percent of our patients demonstrated any of Ranson's 11 prognostic signs of severe pancreatitis, and only 3 percent had 3 or more signs. Fourteen patients underwent emergency operation withi...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Frei GJ,Frei VT,Thirlby RC,McClelland RN

    更新日期:1986-01-01 00:00:00

  • Congenital anomalies of the diaphragm. Personal experience with thirty-five consecutive cases.

    abstract::A personal experience of thirty-five consecutive patients with congenital anomalies of the diaphragm is reported. The anomalies included twenty-five Bochdalek hernias, seven diaphragmatic eventrations, and three esophageal hiatal hernias. Except for the patients with esophageal hiatal hernias, virtually all patients p...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Harberg FJ,Meagher D,Wetchler S,Harris F

    更新日期:1976-12-01 00:00:00

  • A survey of robotic surgery training curricula in general surgery residency programs: How close are we to a standardized curriculum?

    abstract:BACKGROUND:Robotic surgery is increasingly adopted into surgical practice, but it remains unclear what level of robotic training general surgery residents receive. The purpose of our study was to assess the variation in robotic surgery training amongst general surgery residency programs in the United States. METHODS:A...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Tom CM,Maciel JD,Korn A,Ozao-Choy JJ,Hari DM,Neville AL,de Virgilio C,Dauphine C

    更新日期:2019-02-01 00:00:00

  • Sponsoring surgeons: An investigation on the influence of the da Vinci robot.

    abstract:INTRODUCTION:The integrity of the medical literature about robotic surgery remains unclear despite wide-spread adoption. We sought to determine if payment from Intuitive Surgical Incorporated (ISI) affected quality of the research produced by surgeons. METHODS:Publicly available financial data from the CMS website reg...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Criss CN,Gadepalli SK

    更新日期:2018-07-01 00:00:00

  • Prospective comparison of early and late experience with laparoscopic adrenalectomy.

    abstract:BACKGROUND:Laparoscopic adrenalectomy has gained acceptance in the treatment of adrenal tumors. We examine our initial 73 patients and highlight the change in patient selection and outcome that experience brings. METHODS:A prospective study from 2000 to 2005 enrolled 73 consecutive laparoscopic adrenalectomy patients ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Chan JE,Meneghetti AT,Meloche RM,Panton ON

    更新日期:2006-05-01 00:00:00