A breast abscess is a painful condition characterized by a pus-filled lump in the breast. It can occur in any part of the breast but is most commonly found beneath the nipple, known as a subareolar abscess. This condition is often accompanied by symptoms such as redness, swelling, pain, fever, and sometimes pus discharge from the nipple. While it is more common in women, especially those who are breastfeeding, men can also develop breast abscesses due to bacterial infections.
Symptoms of Breast Abscess
The primary signs of a breast abscess include:
- Redness and swelling in the breast
- Pain or tenderness in the affected area
- Fever or chills
- Pus discharge from the nipple
If you notice these symptoms, it’s crucial to seek medical attention promptly to prevent complications.
Types of Breast Abscess Surgery
Treatment for a breast abscess often involves surgery to drain the pus and alleviate symptoms. The type of surgery depends on the size, location, and severity of the abscess. Here are the most common surgical options:
- Needle Aspiration
This minimally invasive procedure is suitable for small abscesses (less than 3 cm). A needle is used to drain the pus, often guided by ultrasound. While recovery is quick, there’s a higher chance of recurrence (up to 59%). - Catheter Placement
For larger abscesses (over 3 cm), a small tube (catheter) is inserted to drain the pus. However, this method may not be effective if the pus is too thick or if there are multiple abscesses. - Vacuum-Assisted Breast Biopsy (VABB)
Originally used for diagnosing breast cancer, VABB can also remove thick pus from abscesses. It involves a small incision and uses a vacuum device to clean the abscess. This method is effective for multiple or hard-to-drain abscesses. - Incision and Drainage
For severe or large abscesses (over 5 cm), an open surgical procedure is performed. The abscess is cut open, and the pus is drained. This method has a lower recurrence rate but requires a longer recovery time and may leave a scar.
Recovery Tips After Surgery
- Follow your doctor’s instructions for wound care and dressing changes.
- Take prescribed antibiotics to prevent infection.
- Avoid strenuous activities until fully healed.
- Monitor for signs of recurrence, such as pain, swelling, or fever, and consult your doctor immediately if they occur.
Potential Complications
Each surgical method carries its own risks, such as recurrence (needle aspiration and catheter placement), bleeding (VABB), or nipple retraction (incision and drainage). Prompt medical attention is essential if complications arise.
Conclusion
Breast abscesses can be painful and disruptive, but timely treatment and proper care can lead to a full recovery. If you suspect a breast abscess, consult a healthcare professional to determine the best treatment plan for your condition.
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