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:
Online Access:http://irep.iium.edu.my/69707/
http://irep.iium.edu.my/69707/1/elagili%20Aspiration.pdf
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author Faisal, Elagili
Norlia, Abdullah
Liew, Fong
Tan, Pei
author_facet Faisal, Elagili
Norlia, Abdullah
Liew, Fong
Tan, Pei
author_sort Faisal, Elagili
building IIUM Repository
collection Online Access
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]
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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
spellingShingle RD Surgery
Faisal, Elagili
Norlia, Abdullah
Liew, Fong
Tan, Pei
Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success
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 RD Surgery
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