Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success
To assess ultrasonographically (US) guided needle aspirationof breast abscesses as an alternative to surgical incision and drainage. Methods: In our prospective study, 30 patients with 31 breast abscesses (one patient had bilateral breast abscess) underwent percutaneous breast abscess drainage under...
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| Format: | Article |
| Language: | English |
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Elsevier
2007-01-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958409601263 |
| _version_ | 1819319638638460928 |
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| author | Faisal Elagili Norlia Abdullah |
| author_facet | Faisal Elagili Norlia Abdullah |
| author_sort | Faisal Elagili |
| collection | DOAJ |
| description | To assess ultrasonographically (US) guided needle aspirationof breast abscesses as an alternative to surgical incision and drainage.
Methods: In our prospective study, 30 patients with 31 breast abscesses (one patient had bilateral breast abscess) underwent percutaneous breast abscess drainage under US guidance with local anaesthesia and oral antibiotics between 1 January 2004 and 31 March 2005. These patients consisted of 16 (53.3%) nonlactating and 14 (46.7%) lactating women, with ages ranging from 18 to 68 years (median, 28 years). The racial distribution comprised 26 (86.7%) Malays, three (10%) Chinese and one (3.3%) Indian. All patients had the chief complaint of breast swelling and 25 (83.3%) had breast pain. Clinically, 28 (93.3%) were found to have a palpable mass. Nine (30%) lesions were in the upper outer quadrant of the left breast. US diameters ranged from 1 to 15 cm (median, 4 cm). The pus volumes varied from 1 to 200 mL (median, 14 mL).
Results: Fifteen (50%) patients required only a single aspiration, 10 required multiple aspirations and five required incision and drainage. Those patients in whom needle aspiration failed had multiloculated lesions irrespective of abscess volume and size.
Conclusion: Needle aspiration with ultrasound guidance is an effective treatment for breast abscess irrespective of abscess volume and size. |
| first_indexed | 2024-12-24T11:06:52Z |
| format | Article |
| id | doaj.art-46343b2231f047cfa0c2d570372bf9ec |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-24T11:06:52Z |
| publishDate | 2007-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-46343b2231f047cfa0c2d570372bf9ec2022-12-21T16:58:37ZengElsevierAsian Journal of Surgery1015-95842007-01-01301404410.1016/S1015-9584(09)60126-3Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting SuccessFaisal ElagiliNorlia AbdullahTo assess ultrasonographically (US) guided needle aspirationof breast abscesses as an alternative to surgical incision and drainage. Methods: In our prospective study, 30 patients with 31 breast abscesses (one patient had bilateral breast abscess) underwent percutaneous breast abscess drainage under US guidance with local anaesthesia and oral antibiotics between 1 January 2004 and 31 March 2005. These patients consisted of 16 (53.3%) nonlactating and 14 (46.7%) lactating women, with ages ranging from 18 to 68 years (median, 28 years). The racial distribution comprised 26 (86.7%) Malays, three (10%) Chinese and one (3.3%) Indian. All patients had the chief complaint of breast swelling and 25 (83.3%) had breast pain. Clinically, 28 (93.3%) were found to have a palpable mass. Nine (30%) lesions were in the upper outer quadrant of the left breast. US diameters ranged from 1 to 15 cm (median, 4 cm). The pus volumes varied from 1 to 200 mL (median, 14 mL). Results: Fifteen (50%) patients required only a single aspiration, 10 required multiple aspirations and five required incision and drainage. Those patients in whom needle aspiration failed had multiloculated lesions irrespective of abscess volume and size. Conclusion: Needle aspiration with ultrasound guidance is an effective treatment for breast abscess irrespective of abscess volume and size.http://www.sciencedirect.com/science/article/pii/S1015958409601263breast abscesspercutaneous drainageultrasound guidance |
| spellingShingle | Faisal Elagili Norlia Abdullah Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success Asian Journal of Surgery breast abscess percutaneous drainage ultrasound guidance |
| title | Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success |
| title_full | Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success |
| title_fullStr | Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success |
| title_full_unstemmed | Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success |
| title_short | Aspiration of Breast Abscess Under Ultrasound Guidance: Outcome Obtained and Factors Affecting Success |
| title_sort | aspiration of breast abscess under ultrasound guidance outcome obtained and factors affecting success |
| topic | breast abscess percutaneous drainage ultrasound guidance |
| url | http://www.sciencedirect.com/science/article/pii/S1015958409601263 |
| work_keys_str_mv | AT faisalelagili aspirationofbreastabscessunderultrasoundguidanceoutcomeobtainedandfactorsaffectingsuccess AT norliaabdullah aspirationofbreastabscessunderultrasoundguidanceoutcomeobtainedandfactorsaffectingsuccess |