Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success
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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2007
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/69707/ http://irep.iium.edu.my/69707/ http://irep.iium.edu.my/69707/ http://irep.iium.edu.my/69707/1/elagili%20Aspiration.pdf |
| Summary: | 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] |
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