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. 2024 Feb 13:17:553-557.
doi: 10.2147/IJGM.S449432. eCollection 2024.

Assessment of the Effectiveness of Ultrasound-Guided Needle Aspiration of Lactating Breast Abscesses

Anh Tuan Tran #  1   2   3 , Dinh Minh Nguyen #  4 , Quang Hien Tran  5   6 , Quang Hung Nguyen  7 , Thu Ha Nguyen Thi  1 , Do Quyen Tran Thi  1 , Hong Nhung Luu  1 , Yen Mai Do Thi  1
Affiliations

Assessment of the Effectiveness of Ultrasound-Guided Needle Aspiration of Lactating Breast Abscesses

Anh Tuan Tran et al. Int J Gen Med. .

Abstract

Objective: To evaluate the effectiveness of ultrasound-guided needle aspiration in treating lactating breast abscesses.

Methods: This study was conducted in Bach Mai Hospital, from 6/2020 to 7/2021. Lactating patients with breast abscesses underwent ultrasound-guided aspiration followed by antibiotics therapy.

Results: There were 59 lactating patients with 82 breast abscesses. Most of the abscesses had heterogeneous echogenicity, no capsule, and a size smaller than 5cm. Bacterial culture results showed that 85.4% of cases were Methicillin-resistant Staphylococcus aureus. The number of aspirations was from 1 to 5. The cure rate was 91.5%, and 5.3% of these cases had a complication associated with galactocele after treatment.

Conclusion: Ultrasound-guided needle aspiration is a minimally invasive treatment option for lactating breast abscesses with a high complete cure rate and good cosmetic results.

Keywords: breast abscess; ultrasound-guided needle aspiration.

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Conflict of interest statement

Anh Tuan Tran and Dinh Minh Nguyen are co-first authors for this study. The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Illustration for a lactating breast abscess in early stage, obtained resolution after one aspiration. (a) at admission, ultrasound shows a fluid collection with capsule and peripheral edema. (b) Seven days post-aspiration, ultrasound shows a hypoechoic area corresponding to inflammatory tissue, with no remaining fluid collection and (c) 14 days post-aspiration, the hypoechoic area decreases significantly in size.
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