The clinical picture of juxta- or subareolar mastitis is presented in 21 patients, whose data were compared with those of 111 patients with other forms of non-specific abscess-forming mastitis. The causal importance of ductectasia, obstruction of the collecting ducts, foreign-body reaction around particles of keratin and the possible role of anaerobic micro-organisms have been evaluated. The results were had after an expectant policy for spontaneous closure, employing only antibiotics and drainage procedures. Favorable results are achieved only after a combination of partial nipple excision and drainage.
本文呈现了21例乳晕旁或乳晕下乳腺炎的临床表现,并将这些患者的数据与111例其他形式的非特异性脓肿形成性乳腺炎患者的数据进行了比较。评估了导管扩张、集合管阻塞、角蛋白颗粒周围的异物反应的因果重要性以及厌氧微生物的可能作用。结果是在仅采用抗生素和引流程序的期待性自发闭合策略之后获得的。只有在联合部分乳头切除和引流后才能取得良好效果。