Evidence map›Paper›PMID 42334816›Full record

ReviewUpdates in surgery2026

Management of lactational and non-lactational breast abscesses: an evidence-based framework to support breast surgeon decision-making.

Lorenzo Scardina, Annasilvia Di Pumpo, Alba Di Leone, Alejandro Martin Sanchez, Gianluca Franceschini

Abstract readReview
PubMed Publisher
In one paragraph

Review in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lorenzo ScardinaBreast Unit, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy. lorenzo.scardina@policlinicogemelli.it.ORCID http://orcid.org/0000-0002-5828-2851
Annasilvia Di PumpoBreast Unit, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Alba Di LeoneBreast Unit, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Alejandro Martin SanchezBreast Unit, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Gianluca FranceschiniBreast Unit, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast abscesses are common benign surgical conditions, particularly among lactating women but they are increasingly recognized in non-lactational settings. Despite their clinical and psychosocial impact, management remains heterogeneous and lacks widely accepted guidelines. A structured narrative review (2012-2024) was conducted using PubMed, Scopus and Web of Science. Evidence from randomized trials, observational studies and systematic reviews was combined with the clinical experience of a high-volume tertiary Breast Unit to develop a multidisciplinary, ultrasound-based management algorithm. Across seven studies (including randomized trials, comparative studies, and a meta-analysis), US-NA demonstrated high resolution rates (85-92%) with shorter healing times and improved patient-reported outcomes compared with I&D. Surgical drainage remains the preferred treatment for collections > 5 cm, multiloculated or recurrent abscesses, particularly in non-lactational cases. Breast surgeons play a pivotal role in diagnosis, intervention selection and coordination of multidisciplinary care. The proposed algorithm provides a reproducible, evidence-based tool to standardize management. Multicenter, surgeon-led studies are needed to support international guideline development.

Indexed as

Breast abscessIncision and drainageLactationMastitisMultidisciplinary careUltrasound-guided aspiration

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.