Journal of

Case Reports and Images in Obstetrics and Gynecology

 
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Case Report
 
Zuska's disease: Just a woman's illness
Sofia Estevinho1, Gunes Karakus1, José Fiel1, Madalena Nogueira1
1Department of Gynecology/ Obstetrics of Santarém's Hospital, Santarém, Portugal.

Article ID: 100015Z08SE2016
doi:10.5348/Z08-2016-15-CR-8

Address correspondence to:
Filipa Sofia Estevinho
Portugal, 2005-259 Santarém
Portugal

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How to cite this article:
Estevinho S, Karakus G, Fiel J, Nogueira M. Zuska's disease: Just a woman's illness. J Case Rep Images Gynecol Obstet 2016;2:35–38.


Abstract
Introduction: Subareolar breast abscess or fistula is a rare benign condition affecting the breast, especially in man. This disorder constitutes a significant surgical challenge because it is associated with significant morbidity. The patient has discomfort and a tendency for recurrence [1]. Literature on mammillary fistulas in men is scarce, therefore standardization of treatment does not exist although complete surgical excision provides better results.
Case Report: We report the case of male recurrent subareolar fistula. A 36-year-old male, smoker, was seen in our department because of episodes of purulent drainage from his left periareolar area (two drainage orifices) with discomfort for the last two years. During this time, medical therapy was unsuccessful. We performed a surgical excision consisting of wedge resection, as a whole, of the fistulous tract and orifice. Pathology revealed dilated subareolar ducts lined by squamous metaplastic cells and surrounded by granulomatous inflammation, compatible with Zuska's disease. So far, he is free from recurrence.
Conclusion: Although a rare disease, Zuska's disease must be considered in differential diagnosis of recurrent breast diseases.

Keywords: Breast disease, Periareolar area, Purulent drainage, Recurrent subareolar abscess or fistula, Zuska's disease.


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Author Contributions
Sofia Estevinho – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Gunes Karakus – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
José Fiel – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Madalena Nogueira – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Sofia Estevinho et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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