American Society of Breast Surgeons, Society of Breast Imaging, and College of American Pathology 2025 Guidelines for the Management of Infectious and Inflammatory Lesions of the Breast - PubMed
19 hours ago
- #Mastitis Management
- #Surgical Breast Care
- #Breast Infection Guidelines
- Guidelines address three common infectious breast conditions: lactational mastitis (LM), granulomatous mastitis (GM), and periductal mastitis with squamous metaplasia of lactiferous ducts (PDM-SMOLD).
- For lactational mastitis, distinguish infectious from noninfectious: infectious LM may need stab incision with drain placement; if phlegmon is present, antibiotics for at least 10 days.
- Granulomatous mastitis requires core biopsy confirmation; cystic neutrophilic granulomatous mastitis (CNGM) is linked to Corynebacterium and should be treated empirically with doxycycline.
- GM cases can recur and take up to 18 months; worsening symptoms should be managed with repeated intralesional steroid injections, avoiding surgery or repeated aspirations.
- For PDM-SMOLD, treat with antibiotics and aspiration; operative excision is required for fistulas or recurrent episodes using a radial incision to remove diseased ducts.