Primary breast abscess
- J Michael Dixon, MD
J Michael Dixon, MD
- Professor of Surgery and Consultant Surgeon
- Edinburgh University
- Section Editors
- Anees B Chagpar, MD, MSc, MA, MPH, MBA, FACS, FRCS(C)
Anees B Chagpar, MD, MSc, MA, MPH, MBA, FACS, FRCS(C)
- Section Editor — Breast Surgery
- Associate Professor, Department of Surgery
- Yale University School of Medicine
- Daniel J Sexton, MD
Daniel J Sexton, MD
- Editor-in-Chief — Infectious Diseases
- Section Editor — Bacterial Infections
- Professor of Medicine
- Duke University Medical Center
A breast abscess is a localized collection of pus in the breast tissue.
Breast abscesses develop as a complication of mastitis (figure 1) . In a review of 89 patients with breast abscesses requiring surgical intervention, 14 percent were lactational and 86 percent were nonlactational . Breast abscesses were more common in African Americans, obese patients and smokers than in the general population.
Lactational abscess — Risk factors for lactational breast abscess formation include maternal age over 30 years of age, first pregnancies, gestational age ≥41 weeks gestation, and mastitis [3,4]. It is relatively uncommon for lactating women to develop a breast abscess as a complication of mastitis [3,5]. (See "Lactational mastitis".)
Nonlactational abscesses — Nonlactational abscesses can be classified as central, peripheral or skin associated. Patients with nonlactational abscesses, diabetics and smokers are likely to develop recurrent infections .
●Central (periareolar) nonlactational abscesses are usually due to periductal mastitis. (See "Nonlactational mastitis".)
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- Lactational abscess
- Nonlactational abscesses
- CLINICAL MANIFESTATIONS AND DIAGNOSIS
- Differential diagnosis
- Ultrasound guided aspiration
- Surgical drainage
- ROLE OF BREASTFEEDING
- Poor cosmetic outcome
- Mammary duct fistula
- Milk fistula
- SUMMARY AND RECOMMENDATIONS