The clinical records of 50 patients with abscess in nonlactating breasts were reviewed. There was a significant difference in response to operative treatment, depending on the location of the abscess (χ2 = 5.9, P <.025).
Twelve patients treated for peripheral abscesses responded satisfactorily with a single recurrence (8%). Etiologic factors were implicated in (nine) 75%. One patient had coexisting invasive ductal carcinoma.
Thirty-eight patients were treated operatively for subareolar abscesses, and recurrence was documented in 15 (39.5%). Bacterial invasion was not considered an important primary etiologic factor. Nipple inversion was noted in two (9%) of patients with their first abscess and in three (19%) with recurrent abscess. The pathogenesis of subareolar inflammation is discussed. Operative treatment requires consideration of total excision of subareolar ducts.
Ekland DA, Zeigler MG. Abscess in the Nonlactating Breast. Arch Surg. 1973;107(3):398-401. doi:10.1001/archsurg.1973.01350210034011