Surgical Management for Zuska’s Disease: A Case Report and Review of Literature

Zuska's disease is a rare chronic breast condition characterized by recurrent nonpuerperal abscesses and periareolar fistulas, often leading to persistent symptoms due to frequent misdiagnosis and inadequate treatment.We present the case of a 52-yearold perimenopausal woman with a history of recurrent breast infections that were mismanaged conservatively.Imaging revealed significant inflammatory changes, which, along with clinical findings, led to a diagnosis of Zuska's disease and prompted surgical intervention.A review of the literature supports our conclusion that surgical excision is the only definitive treatment for this condition.The surgery, involving targeted excision of the affected ducts and fistula, resulted in complete healing with excellent cosmetic and functional outcomes.This case highlights the critical importance of accurate diagnosis and definitive surgical treatment to prevent recurrence and ensure satisfactory cosmetic results.