To the Editor.—In answer to the letter by Drs. Caswell and Maier, I want to point out that this was a retrospective study of patients at Brooke General Hospital over a 20-year period, so that we cannot accurately state how many patients had communication between the abscess cavity and the base of the nipple. In many cases this was not recorded. Also, our study concerned itself with breast abscesses in the nonlactating breast, not with breast abscess due to inverted nipples, although from our material this did not appear to be an etiological factor.
Simple mastectomy in the woman was performed early in the 20-year span, and only after multiple procedures had been attempted. The conclusions of the article did not recommend simple mastectomy as a mode of therapy.