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

Anh Tuan Tran; Dinh Minh Nguyen; Quang Hien Tran; Quang Hung Nguyen; Thu Ha Nguyen Thi; Do Quyen Tran Thi; Hong Nhung Luu; Yen Mai Do Thi

doi:10.2147/IJGM.S449432

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

Int J Gen Med. 2024 Feb 13:17:553-557. doi: 10.2147/IJGM.S449432. eCollection 2024.

Authors

Anh Tuan Tran^#^{1

2

3}, Dinh Minh Nguyen^#⁴, Quang Hien Tran^{5

6}, Quang Hung Nguyen⁷, Thu Ha Nguyen Thi¹, Do Quyen Tran Thi¹, Hong Nhung Luu¹, Yen Mai Do Thi¹

Affiliations

¹ Radiology Center, Bach Mai Hospital, Hanoi, Vietnam.
² Radiology Department, University of Medicine and Pharmacy, Hanoi National University, Hanoi, Vietnam.
³ Stroke and Brain Vascular Disease Department, University of Medicine and Pharmacy, Hanoi National University, Hanoi, Vietnam.
⁴ Radiology Department, Viet Duc Hospital, Hanoi, Vietnam.
⁵ An Giang Department of Health, An Giang, Vietnam.
⁶ Obstetrics and Gynecology, an Giang Women's and Children's Hospital, An Giang, Vietnam.
⁷ Oncology and Nuclear Medicine Center, Bach Mai Hospital, Hanoi, Vietnam.

^# Contributed equally.

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.