CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(03): 327-333
DOI: 10.4103/ijri.IJRI_207_20
Breast Imaging

Zuska’s breast disease: Breast imaging findings and histopathologic overview

Luis F Serrano
Department of Radiology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
,
María M Rojas-Rojas
Department of Radiology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
,
Fedel A Machado
Department of Medicine, School of Medicine, Universidad de los Andes, Bogotá, Colombia
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

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.



Publication History

Received: 02 April 2020

Accepted: 27 May 2020

Article published online:
19 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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