Department of General Surgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia
Work of Art, Bella Vista, New South Wales, Australia.
BMJ Case Rep. 2020 Dec 9;13(12):e237568. doi: 10.1136/bcr-2020-237568.
Breast abscesses are a common surgical problem, typically occurring secondary to lactation mastitis. Recurrent subareolar abscesses are rarely reported and may be poorly recognised as a presentation of squamous metaplasia of lactiferous ducts, known eponymously as 'Zuska's disease'. Other synonyms include subareolar breast abscess and lactiferous or mammary fistulas. Recognition of this painful entity is crucial for optimal outcomes since typical breast abscess management of recurrent aspiration or incision and drainage can lead to recurrence and chronic complications, such as fistula formation.
乳腺脓肿是一种常见的外科问题,通常继发于哺乳期乳腺炎。复发性乳晕下脓肿很少见,可能难以识别,其特征为输乳管的鳞状上皮化生,即所谓的“祖斯卡病”。其他同义词包括乳晕下乳腺脓肿和输乳管或乳腺瘘。认识到这种疼痛性实体非常重要,因为对于反复发作的抽吸或切开引流等典型乳腺脓肿处理方法可能导致复发和慢性并发症,如瘘管形成。