Percutaneous management of breast abscesses. An experience of 39 cases

Madrigal, Manuel; Berná Mestre, Juan de Dios; Berná Serna, Juan De Dios

Publication:
Percutaneous management of breast abscesses. An experience of 39 cases

dc.contributor.author	Madrigal, Manuel
dc.contributor.author	Berná Mestre, Juan de Dios
dc.contributor.author	Berná Serna, Juan De Dios
dc.contributor.department	Dermatología, Estomatología, Radiología y Medicina Física
dc.date.accessioned	2025-01-22T11:25:20Z
dc.date.available	2025-01-22T11:25:20Z
dc.date.issued	2004-01-01
dc.description	© 2025 Elsevier Inc. This document is the published version of a published work that appeared in final form in Ultrasound in Medicine and Biology (UMB). To access the final edited and published work see: https://doi.org/10.1016/j.ultrasmedbio.2003.10.003
dc.description.abstract	This is a review of our experience with percutaneous drainage by means of needle aspiration or catheter drainage of breast abscesses under ultrasound (US) guidance, and a suggested management algorithm. A retrospective study of the 39 patients (36 women, 3 men; mean age: 28.9 years) with breast abscesses who were treated by percutaneous US-guided procedures over a period of 13 years (1989 to 2002) was carried out. Of the 36 women, 34 were nonlactating and two lactating. Needle aspiration was used in the cases of fluid collections < 3 cm and catheter drainage in fluid collections of > 3 cm. Postdrainage care and US evolutive controls were carried out on an outpatient basis. Fine-needle aspiration cytology was performed in masses unresolved after postdrainage. Mammography was performed in patients over 30 years old. In all cases, US examination revealed images of fluid collection. A single needle aspiration was sufficient in 19 cases; 3 patients needed a second aspiration to resolve the breast abscess. A total of 15 cases were resolved by means of percutaneous catheter drainage. In 2 of the 17 patients who underwent catheter drainage, the mass persisted postdrainage; histologic findings showed a chronic abscess requiring surgical intervention in one and a breast carcinoma in the second. Mean follow-up was 8.4 months. Recurrence of breast abscess occurred in 4 patients, and these were resolved by surgical excision. Percutaneous drainage procedures in breast abscesses are a safe and effective alternative to incision and drainage. Needle aspiration is employed in cases of small abscesses and catheter drainage in abscesses larger than 3 cm. Although, in chronic abscesses, the treatment of choice is surgical excision, percutaneous drainage remains as an intermediate therapeutic option.	es
dc.format	application/pdf	es
dc.format.extent	6	es
dc.identifier.citation	Ultrasound in Medicine and Biology, Volume 30, Issue 1, 1 - 6
dc.identifier.doi	https://doi.org/10.1016/j.ultrasmedbio.2003.10.003
dc.identifier.issn	Print.:0301-5629
dc.identifier.issn	Electronic.: 1879-291X
dc.identifier.uri	http://hdl.handle.net/10201/149061
dc.language	eng	es
dc.publisher	Elsevier Science Ltd.	es
dc.relation	Sin financiación externa a la Universidad	es
dc.relation.publisherversion	https://www.umbjournal.org/action/showCitFormats?doi=10.1016%2Fj.ultrasmedbio.2003.10.003&pii=S0301-5629%2803%2901137-2
dc.rights.accessRights	info:eu-repo/semantics/restrictedAccess
dc.subject	Breast	es
dc.subject	Ultrasound (US)	es
dc.subject.other	CDU::6 - Ciencias aplicadas::61 - Medicina::615 - Farmacología. Terapéutica. Toxicología. Radiología	es
dc.title	Percutaneous management of breast abscesses. An experience of 39 cases	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es
relation.isAuthorOfPublication	b2db368b-5d8f-490c-bc1e-21b04b875f4f
relation.isAuthorOfPublication.latestForDiscovery	b2db368b-5d8f-490c-bc1e-21b04b875f4f