Ultrasonography.  2016 Apr;35(2):148-152. 10.14366/usg.15041.

Comparison of needle aspiration and vacuum-assisted biopsy in the ultrasound-guided drainage of lactational breast abscesses

• Kang YD
• Kim YM

• KMID: 2319328
• DOI: http://doi.org/10.14366/usg.15041

Abstract

PURPOSE
The purpose of this study was to compare needle aspiration and vacuum-assistedbiopsy in the ultrasound-guided treatment of lactational breast abscesses.
METHODS
Between January 2005 and December 2014, a total of 74 patients presented withlactational breast abscesses. Thirty of these patients underwent treatment with antibioticsalone, while the remaining 44 lactating women with breast abscesses were treated withneedle aspiration (n=25) or vacuum-assisted biopsy (n=19). Age, duration of lactation, abscess diameter, pus culture results, the number of interventions, the healing time, and the cure rate were reviewed and compared between these two groups. The Student's t test and the chi-square test were used to compare the variables.
RESULTS
No significant difference was found in the cure rate between the needle aspirationgroup (22/25, 88%) and the vacuum-assisted biopsy group (18/19, 94.7%) (P=0.441). However, the mean healing time was significantly shorter in the vacuum-assisted biopsy group (6.7 days) than in the needle aspiration group (9.0 days) (P=0.001).
CONCLUSION
Vacuum-assisted biopsy is a viable option for the management of lactational breast abscesses and was found to lead to a shorter healing time than needle aspiration. However, further study is necessary to establish the clinical efficacy of vacuum-assisted biopsy in the management of lactational breast abscesses.

Keyword

Ultrasonography; Breast; Biopsy, needle; Abscess; Image-guided biopsy; Aspiration, vacuum-assisted

MeSH Terms

Abscess*
Biopsy*
Biopsy, Needle
Breast*
Drainage*
Female
Humans
Image-Guided Biopsy
Lactation
Needles*
Suppuration
Ultrasonography