Zuska's disease

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Zuska's Disease, also known as lactiferous fistula, also known as subareolar abscess or periductal mastitis. [1][2] and Zuska-Atkins disease[3] is a rare recurrent condition characterized by draining abscesses around the nipple. It is often misdiagnosed and mistreated, occasionally resulting in unnecessary mastectomy. Symptoms include swelling or subareolar mass, a draining fistula from behind the areola, thick discharge from the nipple, or painful discharge.

The definitive therapy involved excision of the fistula and all of the retroareolar fibroglandular tissue, along with ductal tissue within the nipple.[4]

It was characterized by Zuska in 1951.[5]

[edit] References

  1. ^ Guadagni M, Nazzari G (April 2008). "Zuska's disease". G Ital Dermatol Venereol 143 (2): 157–60. PMID 18833042. 
  2. ^ Passaro ME, Broughan TA, Sebek BA, Esselstyn CB (January 1994). "Lactiferous fistula". J. Am. Coll. Surg. 178 (1): 29–32. PMID 8156113. 
  3. ^ Singletary, S. Eva; Robb, Geoffrey L. (2004). Advanced Therapy of Breast Disease. Hamilton, Ont: B.C. Decker. pp. 4. ISBN 1-55009-262-6. 
  4. ^ Passar, M. et al. (1993). "Lactiferous Fistula." Journal of the American College of Surgery178(1), 29-32.
  5. ^ ZUSKA JJ, CRILE G, AYRES WW (March 1951). "Fistulas of lactifierous ducts". Am. J. Surg. 81 (3): 312–7. doi:10.1016/0002-9610(51)90233-4. PMID 14819475. 


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