Sequelae of subareolar mammary duct excision

Abstract

<h2>Abstract</h2> Mammary duct ectasia and periductal mastitis have been largely described as one clinical syndrome. Recently this interrelation has been studied and the link questioned. Subareolar mammary duct excision is a well-defined surgical technique but it has complications. In this study we aimed to identify any aetiological factors of this condition and to assess the outcome of the surgical treatment. Fifty-two women of an average age of 42 years (range 23–73 years) who had undergone Adair/Urban operation for mammary duct ectasia between 1979 and 1986 were studied retrospectively by sending them a letter which enquired about history, postoperative course and degree of satisfaction with the treatment. Thirty women replied. Fifteen (50%) had a history of atopia and there was a history of autoimmune disorders in 7 (23%). Among a variety of complaints reported, a change in sensation was experienced by 20 (66%): of the nipple by 13 (43%) and of the breast by 7 (23%). The overall satisfaction with treatment and cosmesis was excellent in 15 (50%) and good in 8 (27%). Atopia as a possible contributing factor deserves more attention. Subareolar mammary duct excision, although efficacious, is not devoid of complications although it produces a satisfactory outcome for most patients. There is a high incidence of altered sensation after this operation.