Periductal Mastitis

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Periductal mastitis:
    • Is an inflammatory condition of the subareolar ducts:
      • That often presents with periareolar inflammation
  • Secondary infection of inflamed ducts can occur:
    • Leading to duct damage and subsequent rupture with abscess formation:
      • These abscesses often drain spontaneously at the edge of the areola
    • Recurrent abscesses and a draining fistula can occur.
  • Most patients with periductal mastitis are smokers:
    • It has been postulated that smoking is associated with damage of the subareolar ducts:
      • With tissue necrosis and subsequent infection
    • Therefore, smoking cessation is helpful for reducing the risk of repeat infections
  • The management of subareolar abscess consists of:
    • Antibiotic therapy and abscess drainage
    • In refractory cases;
      • Excision of the fistula track is necessary
  • References
    • Schafer P, Furrer C, Mermillod B. An association of cigarette smoking with recurrent subareolar breast abscess. Int J Epidemiol 1988;17(4):810-813.
    • Bundred NJ, Dover MS, Coley S, Morrison JM. Breast abscesses and cigarette smoking. Br J Surg. 1992;79(1):58-59.

#Arrangoiz #BreastSurgeon #CancerSurgeon #SurgicalOncologist #BreastCancer #Miami #Mexico #PerriductalMastitis

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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