the Need for Surgery in Subcutaneous Breast Infections

Breast lump

I have recently been visiting the hospital frequently because I have a hard lump near my nipple and areola that has become infected.
The examination results indicated that it is a subcutaneous tissue infection, and I had pus drained.
However, after three weeks, there is still a small hard lump that causes mild pain at times, and occasionally there is some discharge.
The doctor mentioned that surgery is necessary to remove the lump, and I will be hospitalized and operated on the same day.
I would like to know the purpose of the surgery.
How long will I need to stay in the hospital? Since it is just a subcutaneous tissue infection, it shouldn't be something like mastitis, right?

Lian Lian, 30~39 year old female. Ask Date: 2017/04/03

Dr. Li Zhonghuai reply Surgery

Hello! This is mastitis complicated by an abscess, which is often associated with smoking, including secondhand smoke, particularly in cases of mastitis occurring below or near the areola.
For this type of mastitis, it is recommended to surgically drain the abscess.
Hospitalization depends on the individual; if a person is unable to quit smoking or avoid exposure to smoke, treatment may take a long time.
Take care! Changhua Hospital cares about you!

Reply Date: 2017/04/03

More Info

Understanding the need for surgery in cases of subcutaneous breast infections, particularly those involving the area around the nipple and areola, is crucial for effective treatment and recovery. In your situation, where there is a persistent hard lump that has developed into an abscess, surgery is often recommended for several reasons.

Purpose of Surgery
1. Removal of Infection Source: The primary purpose of surgery in this context is to remove the infected tissue and any abscess that has formed. An abscess is a localized collection of pus that can occur when the body attempts to fight off an infection. If left untreated, the infection can spread, leading to more severe complications.

2. Relief of Symptoms: Surgical intervention can provide immediate relief from pain and discomfort associated with the infection. By draining the abscess and removing the infected tissue, the pressure and inflammation can be alleviated, leading to a quicker recovery.

3. Preventing Recurrence: If the infected tissue is not adequately addressed, there is a risk of the infection recurring. Surgery helps ensure that all infected material is removed, reducing the likelihood of future infections in the same area.

4. Histopathological Examination: In some cases, the tissue removed during surgery may be sent for pathological examination to rule out any underlying malignancy or other serious conditions. This is particularly important in breast-related issues, where early detection of cancer can significantly impact treatment outcomes.

Duration of Hospital Stay
The length of hospital stay after such a procedure can vary based on several factors:
- Extent of the Infection: If the infection is localized and the surgery is straightforward, patients may be discharged on the same day. However, if the infection is more extensive or if complications arise, a longer hospital stay may be necessary for monitoring and further treatment.

- Patient's Overall Health: The patient's overall health and any underlying conditions can also influence the duration of the hospital stay. Those with compromised immune systems or other health issues may require more extended observation.

- Postoperative Care: After surgery, the medical team will monitor for any signs of complications, such as excessive bleeding, infection at the surgical site, or adverse reactions to anesthesia. If the patient is stable and recovering well, they may be discharged sooner.

Differentiating from Mastitis
While you mentioned that this might not be mastitis, it is essential to understand that mastitis is an infection of the breast tissue that can also lead to abscess formation. The symptoms can be similar, including pain, swelling, and sometimes discharge. However, mastitis typically occurs in breastfeeding women and is often treated with antibiotics. In contrast, your situation involves a subcutaneous infection that has formed a hard lump, which may require surgical intervention.

Conclusion
In summary, the decision to proceed with surgery for a subcutaneous breast infection is based on the need to remove the source of infection, alleviate symptoms, prevent recurrence, and ensure proper diagnosis through tissue examination. The duration of the hospital stay will depend on the specifics of the case, including the extent of the infection and the patient's health status. It is crucial to follow your doctor's recommendations and attend any follow-up appointments to ensure a complete recovery. If you have further concerns or questions about the procedure or recovery, do not hesitate to discuss them with your healthcare provider.

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