<s>[INST] if you were diagnosed with Zaskas disease. how often should you go for a folow up to ensure it has not become cancerous? during the biopsy there was a metal tubing left in the breast and has caused infection which has not been cleared up with several rounds of antibiotics. should the medal be removed? [/INST] Thanks for your question on HCM. Zuska's disease is abscess in lectiferous glands in areolar and subareolar region.And you should get done monthly follow up once infection is cleared. And yes, you should definitely remove the metal tubing.It may act as foreign body and cause local reaction and granuloma formation.So better to get it removed. </s>