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Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success

Faisal, Elagili and Norlia, Abdullah and Liew, Fong and Tan, Pei (2007) Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success. Asian Journal of Surgery, 30 (1). pp. 40-44. ISSN 1015-9584

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OBJECTIVE: To assess ultrasonographically (US) guided needle aspiration of 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. [Asian J Surg 2007;30(1):40–4]

Item Type: Article (Journal)
Additional Information: 8115/69707
Uncontrolled Keywords: breast abscess, percutaneous drainage, ultrasound guidance
Subjects: R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Depositing User: Asst Prof Faisal Elagili
Date Deposited: 11 Apr 2019 11:03
Last Modified: 11 Apr 2019 11:03
URI: http://irep.iium.edu.my/id/eprint/69707

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