Health news
Health news top Health news

   Login  |  Register    
Health News Make AMN Your Home PageDiscussion BoardsAdvanced Search ToolMedical RSS/XML News FeedHealth news
  You are here : > Health Centers > Cancer Health CenterBreast Cancer • • Benign Breast Diseases

Mammary-Duct Fistula

Breast Cancer • • Benign Breast DiseasesJun 16, 2008

Mammary-duct fistula is a communication between a subareolar duct and skin, usually occurring in the periareolar region. It often occurs spontaneously following underlying periductal mastitis but can also occur following incision and drainage of a nonlactating breast abscess. It occurs predominantly in younger women; the majority are smokers.

Clinical Features
Presence of a fistula in the periareolar region with associated inflammation on a background history of recurrent periductal inflammation is often noted. Patients classically report a long duration of symptoms of recurrent inflammation treated with antibiotics.

On ultrasound, the fistulous track may be seen as a linear hypoechoic structure extending from the skin. The main objective of mammography and ultrasound is to exclude underlying abscess or malignancy.


Macroscopic Appearance
A thickened fistulous track may be apparent in the specimen.

Microscopic Appearance
Classically, a fistulous track is seen. It is lined with granular tissue that extends from the areolar skin to an underlying duct. Extensive squamous metaplasia is commonly present in the affected duct.

In the presence of acute inflammation, appropriate antibiotic therapy is necessary initially. Surgery is the only means of successfully curing this condition and will involve complete duct excision with excision of mammary-duct fistula. The wound may be left open and allowed to heal by secondary intention. Where the disease is relatively quiescent, it is reasonable to achieve healing by primary skin closure and antibiotic cover.

A.D. Purushotham, P. Britton and L. Bobrow
A prospective study of benign breast disease and the risk of breast cancer. JAMA 2002


Provided by ArmMed Media

Email this to a friend Bookmark this! Printable Version


 Comments [ + Post Your Own

Now you're in the public comment zone. What follows is not Armenian Medical Network's stuff; it comes from other people and we don't vouch for it. A reminder: By using this Web site you agree to accept our Terms of Service. Click here to read the Rules of Engagement.

There are no comments for this entry yet. [ + Comment here + ]

We are pleased to let readers post comments about an article. Please increase the credibility of your post by including your full name and email.

All comments are reviewed by our editors before they are posted on the site. Just keep it clean, kids.





Remember my personal information

Notify me of follow-up comments?

Please enter the word you see in the image below:

   [advanced search]   
Interactive Quiz:
1. An infant who sits with only minimal support, attempts to attain a toy beyond reach, and rolls over from the supine to the prone position, but does not have a pincer grasp, is at a developmental level of
2 months
4 months
6 months
9 months
1 year

Health Centers

Health Centers


Health news

Health Encyclopedia

Diseases & Conditions

Drugs & Medications

Health Tools

Health Tools

   Health newsletter


   Medical Links

   RSS/XML News Feed


Breast Cancer news from Armenian Medical Network
Add to My AOL
Add to Google Reader or Homepage