A 35-year-old woman gave a history of having having had 20 operations in 13 years for abscesses and fistulas in her breasts. All of these had pointed at the peripheries of the areolae. Examination showed an undrained abscess just lateral to the areola of the left breast and a draining sinus similarly located in the right breast. Both breasts were scarred from multiple incisions. Most of the breast tissue on the right had been removed.
The patient had been treated by six different surgeons, but the operations they had performed had failed to control the tendency of the abscesses to recur or to stop the drainage from the fistula. Recently, in desperation the patient had been admitted to a hospital where she spent two weeks having a variety of tests including an electroencephalogram, roentgenograms of the gastrointestinal tract, testing of gastric acidity and of kidney function, and a wide selection
CRILE G, CHATTY EM. Squamous Metaplasia of Lactiferous Ducts. Arch Surg. 1971;102(5):533-534. doi:10.1001/archsurg.1971.01350050099029