Epidemiological study of suppurative disease of the breast in Korean women
The pattern of surgical breast disease in Korea May be different to that of the
Western countries. In our particular situation, it has been believed that
suppurative disease of the breast ought to be considered into as one of the so
called "Big Three"; dysplasia, fiberoadenoma, and carcinous.
Following adment of antibiotic, improved maternal hygine and nursing, the
incidence of breast abscess has decreased, however, it is not so low as we
The purpose of the present article is present a clinical and epidemiologocal
review on 585 cases of suppurative disease of female breast treated at Surgical
Department of Ehwa Women University Hospital from September, 1962 to August, 1970.
Analysis of these cases provided the following results.
1) The incidence of acute mastitis and abscess to the total number of hospital
delivery for period of ranging from 1962 to 1972 was 0.35%. This figure represented
a higher incidence comparing that of between countries.
2) The peak incidence was in the age group 21 to 30, and its number of patients
was 380 cases(65%). The extreme of age was represented by age of 3 days and 64
3) The seasonal distribution showed that the disease was more prevalent in winter
season. Comparative statistics for the 10 years suggested that the disease had been
gradually decreasing in the first 5 years period and then increased in the later 5
4) There was no predilection between the right and left breast, however, the
incidence of bilateral involvment was quite high and its percentage was 13.9%.
5) The disease was more frequently occured in primipara(39%) than multipara(25%).
Along the subsequent parity it was decreased in number.
There was no strict correlation between the incidence of breast abscess and
6) According to 165 cases whose bacteriological were available staphylococcus
aureus was the most preducinating organism, about 90%, and 85% of this organism was
resistant to penicillin.
7) In 206 cases of acute-mastitis, conservative management including antibiotic
were usually performed unless they were suppurated. Incision and drainage combined
with antibiotic gave good result for the full blown abscess. Average duration of
treatment after surgery required 13 days for recovery.
8) The pathogenesis and etiology were followed of many cases of mastitis. A
cracked nipple presumablly provided an entry for the infection. It was not uncommon
to be able to trace an infection to skin pustules or to a paronychia in the baby.