To the Editor.—The article entitled "Abscess in the Nonlactating Breast" by Ekland and Zeigler that appeared in the September issue of the Archives (107:398-401, 1973) details the authors' experiences primarily with subareolar abscesses. The recurrence rate in this condition, after what appeared to them to be adequate surgical treatment, was 39.5%. They had three patients who "... required simple mastectomy for control of persistent and recurring inflammation." They reported a low incidence of nipple inversion (two patients), and dismissed this as a causative factor in the recurring or primary abscesses. They did not state how many of the patients had a communication between the abscess cavity and the base of the nipple.
Our previously reported experience with acute and chronic recurrent periareolar or subareolar abscess now includes over 40 patients.1 We have seen many gradations of inversion responsible for the continuous "feeding" of the abscess cavity and recurrence. Proper