Mammary duct fistulae: classification and management

ANZ Journal of Surgery
Jamal K Almasad

Abstract

The aim of the present study was to review the management of mammary duct fistulae and propose a classification that could be useful in planning the management of mammary duct fistulae. Sixteen women presented with a mammary duct fistula, two of whom had two fistulae. The data analysed included age, smoking habit, previous abscesses, nipple abnormalities, imaging, culture, operative technique and histopathological findings. The average follow up was 28 months, the mean age was 36.5 years and two women were heavy smokers. Nipple abnormalities were found in five (32%) patients, the average number of abscesses before the presentation was 1.8 and Staphylococcus coagulase negative predominated the culture. Eleven (69%) patients underwent total excision of the ductal system and fistulous tract using a technique modified by the author. Five patients were offered conservative treatment; however, one of the patients refused surgical treatment, but was still followed up in the present study. Histopathological results revealed periductal mastitis in 10 patients, idiopathic granulomatous mastitis in five patients and tuberculous mastitis in one patient. Deep mammary duct fistulae are directly related to a diseased ductal system and should ...Continue Reading

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Citations

Sep 12, 2012·Clinical Radiology·G LoA G Bourke
Nov 26, 2010·Journal of Visceral Surgery·P-L GiacaloneC Rouleau
Aug 17, 2010·Medical Hypotheses·Juan D Berná-Serna, Juan D Berná-Mestre
Mar 18, 2009·The Breast : Official Journal of the European Society of Mastology·N Low, P A Barry
Jun 6, 2009·The Breast Journal·Rasha Mohamed KamalDorria Saleh Salem
Nov 13, 2008·The Breast Journal·Asiie OlfatbakhshGholamreza Esmaeeli Djavid
Jul 31, 2014·Radiología·A M Fernández MartínezT Cuesta Marcos
Sep 10, 2014·The Journal of Surgical Research·Xiaohui ZhangHanyuan Huang
Sep 13, 2016·Surgery·Mario TaffurelliMargherita Serra

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