Recurrent subareolar non puerperal abscess of breast with fistules of lactiferous ducts (Zuskas disease)

• Published in: Rozhledy v chirurgii Vol. 92; no. 9; p. 509
• Main Authors: Móricová, P, Žúbor, P, Kapustová, I, Švecová, I, Danko, J
• Format: Journal Article
• Language: Czech
• Published: Czech Republic 01-09-2013
• Subjects: Abscess - surgery; Breast Diseases - surgery; Chronic Disease; Female; Fistula - surgery; Humans; Mastitis - surgery; Nipples; Recurrence
• ISSN: 0035-9351

Zuskas disease (ZD) is an illness also known as the recurrent subareolar non-puerperal abscess of breast with fistulas of lactiferous ducts or as a periductal mastitis. ZD is rare, but painful chronic disease of breast characterized by local inflammation and evacuation of viscous content from abscess around the nipple. We present a rare form of the non-puerperal mastitis in patients with recurrence of this disease and with the description of management and treatment.
The treatment of ZD is often inadequate and it leads to the recurrence of ZD and retraction of the nipple. Definitive treatment of ZD is surgical excision of the fistulation, removing of whole retroareolar fibroglandular tissue, abscess cavity and ductal tissue inside the nipple, including the obstructed ducts. The ratio of patients cured by this method is high, as well as their satisfaction with the final cosmetic effect of the nipple and breast.