Recurrent subareolar non puerperal abscess of breast with fistules of lactiferous ducts (Zuskas disease)
Authors:
P. Móricová; P. Žúbor; I. Kapustová; I. Švecová; J. Danko
Authors‘ workplace:
Gynekologicko-pôrodnícka klinika JLF UK a UNM, Martin, přednosta: Prof. MUDr. J. Danko, CSc.
Published in:
Rozhl. Chir., 2013, roč. 92, č. 9, s. 509-511.
Category:
Case Report
Overview
Introduction:
Zuskas disease (ZD) is an illness also known as the recurrent subareolar non-puerperal abscess of breast with fistulas of lactiferous ducts or as a periductal mastitis. ZD is rare, but painful chronic disease of breast characterized by local inflammation and evacuation of viscous content from abscess around the nipple. We present a rare form of the non-puerperal mastitis in patients with recurrence of this disease and with the description of management and treatment.
Conclusion:
The treatment of ZD is often inadequate and it leads to the recurrence of ZD and retraction of the nipple. Definitive treatment of ZD is surgical excision of the fistulation, removing of whole retroareolar fibroglandular tissue, abscess cavity and ductal tissue inside the nipple, including the obstructed ducts. The ratio of patients cured by this method is high, as well as their satisfaction with the final cosmetic effect of the nipple and breast.
Key words:
Zuskas disease – Recurrent subareolar non-puerperal abscess of breast – fistula of lactiferous duct
Sources
1. Passaro ME, Broughan TA, Sebek BA, Esselstyn CB. Lactiferous fistula. J Am Coll Surg 1993;178:29–32.
2. Zuska JJ, Crile G, Ayres WW. Fistula of lactiferous ducts. Am J Surg 1951;81:312–317.
3. Guadagni M, Nazzari G. Zuskas disease. G Ital Dermatol Venereol 2008;143:157–160.
4. Guray M, Sahin A. Benign breast diseases: Classification diagnosis, and management. Oncologist 2006;11:435–449.
5. Bundred NJ, et al. Breast abscesses and cigarette smoking. Br J Surg, 1992;79:58–59.
6. Furlong AJ, al-Nakib L, Knox WF, et al. Periductal inflammation and cigarette smoke. J Am Coll Surg 1994;179:417–420.
7. Gollapalli V, Liao J, Dudakovic A, et al. Risk factors for development and recurrence of primary breast abscesses. J Am Coll Surg 2010;211:41–48.
8. Komenaka IK, Pennington RE, Bowling, MW, et al. A technique to prevent recurrence of lactiferous duct fistula. J Am CollSurg, 2006;203:253–256.
9. Lannin DR. Twenty two year experience with recurring subareolar abscess and lactiferous duct fistula treated by a single breast surgeon. Am J Surg 2004;188:407–410.
10. Li S, Grant CS, Degnim A, Donohue J. Surgical management of recurrent subareolar breast abscesses: Am J Surg 2006;192:528–9.
11. Meguid MM, Oler A, Numman PJ, et al. Pathogenesis- based treatment of recurring subareolar breast abscesses. Surgery 1995;118: 775–782.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2013 Issue 9
Most read in this issue
- Smoking and postoperative complications
- Recurrent subareolar non puerperal abscess of breast with fistules of lactiferous ducts (Zuskas disease)
- Rare complication after stapled hemorrhoidectomy
- Liver and pulmonary metastases of the colorectal carcinoma – the experience of the Department of Surgery, University Hospital in Pilsen