Diagnosis of breast abscess, as a rule, does not cause problems. The characteristic symptomatology of the disease usually allows you to establish a correct diagnosis and prescribe the right treatment. Only in some cases, with long-term, chronic abscesses, it is possible to conduct a distinctive diagnosis of an abscess from a malignant or benign tumor.
Most often, the diagnosis is established on the basis of characteristic symptoms, laboratory-instrumental examinations, diagnostic manipulation (abscess biopsy).
A blood test usually indicates the presence of a persistent inflammatory process: an increase in the level of leukocytes, accelerated ESR.
Urinalysis can be indicated by proteinuria and leukocyturia.
With bacteriological seeding of the discharge from the nipple, a pathogenic microflora can be detected.
When probing the affected gland, a round convex formation, fluctuating due to the fluid content of the abscess, is determined. The affected gland is enlarged in volume, tense and sharply painful.
Ultrasound of the breast can detect a hypoechoic focus of a rounded configuration on the background of a swollen gland. Due to ultrasound, the location, the size of the abscess can be accurately determined, and a control puncture of the abscess can be made and the contents taken to determine the pathogen.