In lactation<unk> , frequent emptying of both breasts by breastfeeding is essential. Also essential is adequate fluid supply for the mother and baby. For breastfeeding women with light<unk> , massage and application of heat prior to feeding can help as this may aid unblocking the ducts. However, in more severe cases of<unk>  heat or massage could make the symptoms worse and cold compresses are better suited to contain the inflammation. Nonpuerperal<unk>  is treated by medication and possibly aspiration or drainage (see in particular treatment of subareolar abscess and treatment of granulomatous<unk> . According to a BMJ best practice report, antibiotics are generally to be used in all nonpuerperal<unk>  cases, with replacement of the antibiotics by an antifungal agent such as fluconazole in cases of deep fungal infections, and corticosteroids are to be used in case of granulomatous<unk>  (with differential diagnosis to tuberculosis infection of the breast). In idiopathic granulomatous<unk> , successful treatment includes invasive surgical procedures or less invasive treatment with steroid medications. Antibiotics In lactational<unk> , antibiotics are not needed in the overwhelming majority of cases and should be used only for bacterial infections. For people with nonsevere infections, dicloxacillin or cephalexin are recommended. For people with severe infections, vancomycin is recommended. The length of antibiotic treatment ranges anywhere from 5–14 days. The effects of antibiotics has not been well studied as of 2013. Breast abscess An abscess (or suspected abscess) in the breast may be treated by ultrasound-guided fine-needle aspiration (percutaneous aspiration) or by surgical incision and drainage; each of these approaches is performed under antibiotic coverage. In case of puerperal breast abscess, breastfeeding from the affected breast should be continued where possible. For small breast abscesses, ultrasound-guided fine needle aspiration such as to completely drain the abscess is widely recognized as a preferred initial management. One recommended treatment includes antibiotics, ultrasound evaluation and, if fluid is present, ultrasound-guided fine needle aspiration of the abscess with an 18 gauge needle, under saline lavage until clear. The exudate is then sent for microbiological analysis for identification of the pathogen and determination of its antibiotic sensitivity profile, which may in turn give an indication for changing the antibiotics. At follow-up, a mammography is performed if the condition has resolved; otherwise the ultrasound-guided fine-needle aspiration with lavage and microbiological analysis is repeated. If three to five aspirations still do not resolve the condition, percutaneous drainage in combination with placement of an indwelling catheter is indicated, and only if several attempts at ultrasound-guided drainage fail, surgical resection of the inflamed lactiferous ducts (preferably performed after the acute episode is over). It is noted, however, that even the excision of the affected ducts does not necessarily prevent recurrence. Nonpuerperal breast abscesses have a higher rate of recurrence compared to puerperal breast abscesses. There is a high statistical correlation of nonpuerperal breast abscess with diabetes mellitus (DM). On this basis, it has recently been suggested that diabetes screening should be performed on patients with such abscess. Although there are a number of recommendations regarding the treatment of breast abscesses, a 2015 review found insufficient evidence of whether needle aspiration is comparable to incision and drainage, or whether antibiotics should generally be given to women undergoing incision and drainage.
Mastitis
Breast cancer
Amurca
Breast engorgement
Pyometra
Hidradenoma
Trichodiscoma
Hydrocolpos