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ARTICLE | February 1974

Abscess in the Nonlactating Breast

H. TAYLOR CASWELL, MD; W. P. MAIER, MD

Arch Surg. 1974;108(2):247. doi:10.1001/archsurg.1974.01350260099026.

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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

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CASWELL H, MAIER WP. Abscess in the Nonlactating Breast. Arch Surg. 1974;108(2):247. doi:10.1001/archsurg.1974.01350260099026.

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