Kazama Takashi, Tabei Isao, Sekine Chikako, Funamizu Naotake, Onda Shinji, Okamoto Tomoyoshi, Takeyama Hiroshi, Morikawa Toshiaki
Department of Surgery, Jikei University Daisan Hospital, 4-11-1, Izumihoncho, Komae City, Tokyo, 201-8601, Japan.
Department of Surgery, Kawaguchi Municipal Medical Center, Saitama, Japan.
Surg Case Rep. 2017 Dec 19;3(1):128. doi: 10.1186/s40792-017-0402-3.
Subareolar breast abscess (SBA) is a rare infectious disease of the breast in male patients.
Herein, we report two male patients with SBA. Patient 1 was initially diagnosed with a malignant tumor based on imaging findings; ultrasonography revealed a hypoechoic mass with blood flow. Patient 2 was diagnosed with inflammatory changes to his nipple; ultrasonography findings supported the diagnosis with an irregular hypoechoic mass with blood flow. Both patients received a cytological or histological biopsy preoperatively, which showed an abscess without malignant cells.
These cases serve as an important reminder to consider complete resection of the tumor including the responsible mammary duct (tumor and duct resection (TDR)) for curative therapy of SBA.
乳晕下乳腺脓肿（SBA）是男性患者中一种罕见的乳腺感染性疾病。
在此，我们报告两名患有SBA的男性患者。患者1最初根据影像学检查结果被诊断为恶性肿瘤；超声检查显示一个有血流信号的低回声肿块。患者2被诊断为乳头有炎症改变；超声检查结果支持诊断，显示一个有血流信号的不规则低回声肿块。两名患者术前均接受了细胞学或组织学活检，结果显示为脓肿，无恶性细胞。
这些病例提醒我们，对于SBA的根治性治疗，重要的是考虑完整切除肿瘤，包括受累的乳腺导管（肿瘤及导管切除术（TDR））。
