Herein, we report a rare case of pancreatic metastasis originating from a malignant phyllodes tumor of the breast. A 45-year-old woman initially underwent a partial mastectomy for malignant phyllodes tumor of the left breast, followed by a total mastectomy for local recurrence. Six years later, the patient presented with abdominal pain. Computed tomography revealed a heterogeneous mass with cystic degeneration in the pancreatic tail, morphologically resembling the previously resected breast lesions. Based on the patient's history and imaging findings, pancreatic metastasis from malignant phyllodes tumor was suspected. Endoscopic ultrasound-guided fine-needle aspiration of the solid component was performed, and histopathological examination revealed a sheet-like proliferation of atypical cells with spindle-shaped enlarged nuclei within an eosinophilic stroma. Immunohistochemical staining for AE1/3 cytokeratin was negative, consistent with metastatic malignant phyllodes tumor. The patient declined further treatment and died approximately two months after diagnosis.

We present a rare case of breast implant infection due to Salmonella species in a 74-year-old woman who underwent breast augmentation in 1985. Forty years later, in 2025, she developed sudden left breast edema, pain, and fever. She denies any previous gastrointestinal symptoms. She was prescribed oral antibiotics without any improvement, and she was subsequently admitted to the hospital and was started on broad-spectrum intravenous antibiotics. CT scan of the chest revealed dermal thickening of the left breast consistent with cellulitis, a fluid collection concerning for a developing abscess, and a possible implant rupture. She then underwent incision and drainage of the left breast with implant removal. Intraoperative cultures grew 4+ Salmonella species. She was switched to oral levofloxacin for a total of 2 weeks and discharged home with wound care, with subsequent clinical improvement. In our patient, the source of the Salmonella infection is not clear, and it was an unexpected finding. This underscores the important role of obtaining intraoperative cultures in all cases of breast implant infection.

Medication adherence is a key determinant of clinical outcomes in patients with noncommunicable chronic diseases, where long-term pharmacotherapy, continuous follow-up, and patient engagement are often required. This systematic review evaluated the use of the 8-item Morisky Medication Adherence Scale (MMAS-8) to assess medication adherence in adults with noncommunicable chronic diseases and summarized the adherence levels, associated factors, and methodological characteristics reported across clinical settings. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Searches were performed in PubMed, ScienceDirect, and Google Scholar for studies published between January 2020 and September 2025. Eligible studies included primary research articles in English or Spanish that used the MMAS-8 as the main tool for assessing medication adherence in adults. A total of 989 records were identified. After removal of 71 duplicates, 918 records were screened by title and abstract, and 27 full-text articles were assessed for eligibility. Finally, 19 studies met the inclusion criteria and were included in the qualitative synthesis. The included studies evaluated conditions such as hypertension, diabetes mellitus, cardiovascular disease, breast cancer, psoriasis, hypothyroidism, depression, multiple sclerosis, chronic pain, and multimorbidity. Overall, low or medium adherence was frequently reported, although adherence levels varied according to disease, care setting, population characteristics, and method of scale administration. Factors associated with adherence included sociodemographic characteristics, family support, health literacy, adverse effects, treatment satisfaction, quality of life, and pharmacist-led interventions. The MMAS-8 appears to be a practical tool for identifying potential medication adherence problems in chronic disease populations; however, its self-reported nature, methodological heterogeneity, and variability in administration limit direct comparability across studies. Future research should standardize the MMAS-8 application and combine it with objective adherence measures.

Background Acute breast abscess is a common surgical condition requiring prompt and effective drainage for optimal resolution. Conventional incision and drainage (I&D), although widely practiced, is associated with significant postoperative morbidity, including increased pain, prolonged wound care, delayed healing, and unsatisfactory cosmetic outcomes. These limitations have led to growing interest in minimally invasive alternatives such as percutaneous suction drain (PSD) placement, which may offer comparable efficacy with reduced morbidity. The present study was undertaken to compare PSD placement with I&D in terms of postoperative pain, number of dressings required, duration of hospital stay, wound healing time, and complications. Methods A prospective comparative study was conducted at Ganesh Shankar Vidyarthi Memorial (GSVM) Medical College, Kanpur, India, from May 2025 to February 2026. Eighty women (age >18 years, abscess >3 cm on ultrasonography) were allocated using an alternating odd-even allocation method to the I&D (n=40) or PSD (n=40) and followed for three months. Results The PSD group demonstrated significantly shorter hospital stays (2.60 vs 4.90 days; p<0.001), lower postoperative Visual Analog Scale (VAS) pain scores (4.20 vs 6.88; p<0.001), faster wound healing (11.55 vs 22.12 days; p<0.001), and fewer dressings required (5.92 vs 13.88; p<0.001). Complication rates like residual abscess (p=0.709), fistula (p=0.608), and three-month recurrence (p=0.709) were numerically lower in the PSD group but did not reach statistical significance. Conclusion Percutaneous suction drainage appears to be an effective alternative to conventional I&D for breast abscesses >3 cm and was associated with reduced pain, shorter hospital stay, faster wound healing, and fewer dressings in this study.