Zuska's disease: Just a woman's illness

Introduction: subareolar breast abscess or fistula is a rare benign condition affecting the breast, especially in man. this disorder constitutes a significant surgical challenge because it is associated with significant morbidity. the patient has discomfort and a tendency for recurrence [1]. Literature on mammillary fistulas in men is scarce, therefore standardization of treatment does not exist although complete surgical excision provides better results. case report: We report the case of male recurrent subareolar fistula. A 36-yearold male, smoker, was seen in our department because of episodes of purulent drainage from his left periareolar area (two drainage orifices) with discomfort for the last two years. During this time, medical therapy was unsuccessful. We performed a surgical excision consisting of wedge resection, as a whole, of the fistulous tract and orifice. Pathology revealed dilated subareolar ducts lined by squamous metaplastic cells and surrounded by granulomatous inflammation, compatible with Zuska’s disease. so far, he is free from recurrence. conclusion: Although a rare disease, Zuska’s disease must be considered in differential diagnosis of recurrent breast diseases.