Abstract
Nipple discharge and breast abscesses are common benign breast problems. They can be frustrating for both the patient and the surgeon. Depending on the pathology, single or total duct excision may be needed for the treatment of nipple discharge. Treatment of simple breast abscesses focuses on drainage of the infection. However, recurrent subareolar abscess and mammary fistulas can result in significant morbidity, and proper evaluation and excision of the diseased ducts is needed to prevent recurrence.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Further Reading
Cardenosa G, Doudna C, Eklund GW. Ductography of the breast: technique and findings. AJR Am J Roentgenol. 1994;162:1081.
Dixon JM, Hardy RG. Chapter 16. Breast infection. In: Dirbas FM, CEH S-C, editors. Breast surgical techniques and interdisciplinary management. New York: Springer; 2011. p. 161–78.
Dixon JM, Thompson AM. Effective surgical treatment for mammary duct fistula. Br J Surg. 1991;78:1185.
Gollapalli V, Liao J, Dudakovic A, Sugg SL, Scott-Conner CE, Weigel RJ. Risk factors for development and recurrence of primary breast abscesses. J Am Coll Surg. 2010;211:41.
Hadfield GJ. Further experience of the operation for excision of the major duct system of the breast. Br J Surg. 1968;55:530–5.
Hughes LE. The duct ectasia/periductal mastitis complex. In: Hughes LE, Mansel RE, Webster DJT, editors. Benign disorders and diseases of the breast. Concepts and clinical management. 2nd ed. London: Saunders; 2000. p. 143–70.
Kato M, Simmons RM. Chapter 17. The evaluation and treatment of nipple discharge. In: Dirbas FM, Scott-Conner CEH, editors. Breast surgical techniques and interdisciplinary management. New York: Springer; 2011. p. 179–86.
Lannin DR. Twenty-two year experience with recurring subareolar abscess and lactiferous duct fistula treated by a single breast surgeon. Am J Surg. 2004;188:407–10.
Meguid MM, Oler A, Numann PJ, Khan S. Pathogenesis-based treatment of recurring subareolar breast abscesses. Surgery. 1995;118:775–82.
Sabel MS, Helvie MA, Breslin T, Curry A, Diehl KM, Cimmino VM, Chang AE, Newman LA. Is duct excision still necessary for all cases of suspicious nipple discharge? Breast J. 2011;10:1524.
Seow JH, Metcalf C, Wylie E. Nipple discharge in a screening programme: imaging findings with pathological correlation. J Med Imaging Radiat Oncol. 2011;55:577.
Urban JA. Excision of the major duct system of the breast. Cancer. 1963;16:516–20.
Webster DJT. Nipple discharge. In: Hughes LE, Mansel RE, Webster DJT, editors. Benign disorders and diseases of the breast. Concepts and clinical management. 2nd ed. London: Saunders; 2000. p. 171–86.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Albright, E.L. (2022). Excision of Ducts, Operations for Breast Abscess. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_117
Download citation
DOI: https://doi.org/10.1007/978-3-030-81415-1_117
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-81414-4
Online ISBN: 978-3-030-81415-1
eBook Packages: MedicineMedicine (R0)