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BREAST IMAGING |
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Year : 2020 |
Volume
: 30 | Issue : 3 | Page
: 327-333 |
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Zuska's breast disease: Breast imaging findings and histopathologic overview
Luis F Serrano1, MarÍa M Rojas-Rojas1, Fedel A Machado2
1 Department of Radiology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia 2 Department of Medicine, School of Medicine, Universidad de los Andes, Bogotá, Colombia
Correspondence Address:
Dr. Luis F Serrano Department of Radiology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Carrera 7 No. 117-15 Colombia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijri.IJRI_207_20
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Zuska's disease describes the clinical condition of recurrent central or periareolar nonpuerperal abscesses associated with lactiferous fistulas. Pathogenesis involves the occlusion of an abnormal duct through an epithelial desquamation process that causes ductal dilatation, stasis of secretions, and periductal inflammation. Patients with Zuska's disease may develop chronic draining sinuses near the areola from lactiferous ducts fistula; therefore, the underlying abnormal duct system must be located and excised for proper treatment. Zuska's disease is often misdiagnosed and mistreated and is associated with significant morbidity, including the recurrence of abscess and cutaneous fistula formation. This case series aimed to help clinicians investigate and manage this disorder. The clinical and imaging findings, histopathologic correlation, and treatment of Zuska's disease are discussed.
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