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...

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Main Authors:	Faisal, Elagili, Norlia, Abdullah, Liew, Fong, Tan, Pei
Format:	Article
Language:	English
Published:	Elsevier 2007
Subjects:	RD Surgery
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

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recordtype	eprints
spelling	iium-697072019-04-11T03:03:02Z http://irep.iium.edu.my/69707/ Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success Faisal, Elagili Norlia, Abdullah Liew, Fong Tan, Pei RD Surgery 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] Elsevier 2007-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/69707/1/elagili%20Aspiration.pdf 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 https://www.sciencedirect.com/science/article/pii/S1015958409601263 10.1016/S1015-9584(09)60126-3
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD Surgery
spellingShingle	RD Surgery Faisal, Elagili Norlia, Abdullah Liew, Fong Tan, Pei Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success
description	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]
format	Article
author	Faisal, Elagili Norlia, Abdullah Liew, Fong Tan, Pei
author_facet	Faisal, Elagili Norlia, Abdullah Liew, Fong Tan, Pei
author_sort	Faisal, Elagili
title	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_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_sort	aspiration of breast abscess under ultrasound guidance: outcome obtained and factors affecting success
publisher	Elsevier
publishDate	2007
url	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
first_indexed	2023-09-18T21:38:57Z
last_indexed	2023-09-18T21:38:57Z
_version_	1777413010243977216

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

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