Sequelae of subareolar mammary duct excision

被引:3
作者
Al Gari, MAA [1 ]
Preece, PE [1 ]
机构
[1] Univ Dundee, Ninewells Hosp & Med Sch, Dept Surg, Dundee DD1 9SY, Scotland
关键词
D O I
10.1016/S0960-9776(98)90111-4
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Mammary duct ectasia and periductal mastitis have been largely described as one clinical syndrome. Recently this interrelation has been studied and the link questioned. Subareolar mammary duct excision is a well-defined surgical technique but it has complications. in this study we aimed to identify any aetiological factors of this condition and to assess the outcome of the surgical treatment. Fifty-two women of an average age of 42 years (range 23-73 years) who had undergone Adair/Urban operation for mammary duct ectasia between 1979 and 1986 were studied retrospectively by sending them a letter which enquired about history, postoperative course and degree of satisfaction with the treatment. Thirty women replied. Fifteen (50%) had a history of atopia and there was a history of autoimmune disorders in 7 (23%). Among a variety of complaints reported, a change in sensation was experienced by 20 (66%): of the nipple by 13 (43%) and of the breast by 7 (23%). The overall satisfaction with treatment and cosmesis was excellent in 15 (50%) and good in 8 (27%). Atopia as a possible contributing factor deserves more attention. Subareolar mammary duct excision, although efficacious, is not devoid of complications although it produces a satisfactory outcome for most patients. There is a high incidence of altered sensation after this operation.
引用
收藏
页码:213 / 215
页数:3
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