Prospective analysis of diagnosis of women with mastalgia
DOI:
https://doi.org/10.18203/2349-2902.isj20240171Keywords:
Mastalgia, Breast pain, Benign breast disorders, Women, Reproductive ageAbstract
Background: Mastalgia is a common condition in women who present to the breast clinics or to the family doctors. It is a chronic problem that affects physical and social activity, work-school activities and sexual activity, and can last years. Therefore, the present study was conducted to determine the aetiology and diagnosis of patients presenting with mastalgia.
Methods: This was a hospital based prospective observational study. Total 80 women in reproductive age group who had symptom of mastalgia alone coming to department of general surgery, were taken as study subjects. Demographic, physical and disease characteristics along with ultrasonography (USG) and mammography imaging results analyzed.
Results: In present study the average age of patients in our study was 30.93±5.44 years and the mean body mass index (BMI) was of 23.79±2.92. Among cases 20% had complains of irregular menses, 77.5% had breastfed in past and 27.5% cases had history of benign breast diseases. Among cases 57.5% cases had non-cyclical breast pain, 42.5% cyclical breast pain and 58, 72.5% had unilateral breast pain. 53.17% had mild and 10% breast pain severe pain. As per the clinical findings, 32.5% cases were diagnosed with nodularity and 6.5% abscess. Sonography findings were in agreement with the clinical findings.
Conclusions: Mastalgia is one of the common symptom in females presenting to breast clinic. Benign breast disorders were commonly associated with mastalgia. Thus, it is very essential to diagnose the risk factors and underlying pathology in mastalgia cases by early diagnosis and prompt treatment of cases.
Metrics
References
Olcucuoglu E, Yılmaz G. Mastodynia: is imaging necessary in young patients? Turk J Surg. 2013;29(1):17.
Akbulut H, Sağlam K, Bilgin MG, Sarı O, Bilgin S, Tufan T, Aydoğan Ü, Doğaner YÇ. Breast cancer frequency among patients who applied to our outpatient department for breast pain. Turk J Fam Pract. 2010;14(1):8-12.
Yıldırım AC, Yıldız P, Yıldız M, Kahramanca Ş, Kargıcı H. Mastalgia-cancer relationship: a prospective study. J Breast Health. 2015;11(2):88.
Olawaiye A, Withiam-Leitch M, Danakas G, Kahn K. Mastalgia: a review of management. J Reprod Med. 2005;50(12):933-9.
Gateley CA, Miers M, Mansel RE, Hughes LE. Drug treatments for mastalgia: 17 years experience in the Cardiff Mastalgia Clinic. J R Soc Med. 1992;85(1):12-5.
Ader DN, South-Paul J, Adera T, Deuster PA. Cyclical mastalgia: prevalence and associated health and behavioral factors. J Psychosom Obstet Gynaecol. 2001;22(2):71-6.
Yıldırım AC, Yıldız P, Yıldız M, Kahramanca Ş, Kargıcı H. Mastalgia-Cancer Relationship: A Prospective Study. J Breast Health. 2015;11(2):88-91.
Baykal A. Fibrokistik Değişiklikler ve Mastalji. In: Sayek, İ, Özmen. MM, editors. Temel Cerrahi El Kitabı. Ankara: Güneş Tıp. 2009;314-7.
Grullon S, Bechmann S. Mastodynia. StatPearls. StatPearls Publishing; Treasure Island (FL). 2022.
Mohammed AA. Evaluation of mastalgia in patients presented to the breast clinic in Duhok city, Iraq: Cross sectional study. Ann Med Surg (Lond). 2020;52:31-5.
Smith RL, Pruthi S, Fitzpatrick LA. Evaluation and management of breast pain. Mayo Clin Proc. 2004;79(3):353-72.
Thakur N, Zargar B, Nazeer N, Parray F, Wani R. Mastalgia – Use Of Evening Primrose Oil In Treatment Of Mastalgia. Int J Surg. 2010;24(2):1-6.
Gumm R, Cunnick G, Mokbel K. Evidence for the management of mastalgia. Curr Med Res Opin. 2004;20(5):681-4.
Yüksekkaya R, Çelikyay F, Voyvoda N, Gökdemir-Yazar Ö. Breast ultrasound findings in patients with mastalgia under the age of fourty. J Breast Health. 2012;8:19-22.
Nirhale DS, Dhende M, Shingade P, Chavan S, Sonawane T, Kulkarni G. A study on clinical profile and management of mastalgia. Int Surg J. 2018;5:1889-93.
Hamawandi NM. A prospective study on mastalgia in sulaimania, iraq. Basrah J Surg. 2010;16(2):46-54.
İdiz C, Çakır C, Ulusoy Aİ, İdiz UO. The Role of Nutrition in Women with Benign Cyclic Mastalgia: A Case-Control Study. Eur J Breast Health. 2018;14:156-9.
Olfati F, Kazemi Jaliseh H, Farhad M. Survey the relationship between BMI and Cyclic Mastalgia. J Guilan Univ Med Sci. 2009;17(68):50-6.
Koçoğlu D, Kurşun S, Akın B, Altuntug K. Mastalgia and associated factors: a cross-sectional study. Agri. 2017;29(3):100-8.
Sangma MB, Panda K, Dasiah S. A clinico-pathological study on benign breast diseases. J Clin Diagn Res. 2013;7(3):503-6.
Wypych K, Spiewankiewicz B, Sawicki W. Evaluation of endometrial changes in women with cyclical mastalgia. Ginekologia polska. 1995;66(8):451-6.
Kaviani A, Majidzadeh K, Vahdaninia MS. Mastalgia in females attending the Iranian Center for breast cancer. Payesh (Health Monitor). 2002;1(1):25-32.
Kocaoz S, Parlak O. Fearful experience of women: mastalgia. Ankara Med J. 2020;20(2):348-59.
Kataria K, Dhar A, Srivastava A, Kumar S, Goyal A. A systematic review of current understanding and management of mastalgia. Indian J Surg. 2014;76(3):217-22.
Mandal A, Jana P, Bakshi S, Mandal RK. A comparative clinicopathological study between ultrasonography, mammography, fine needle aspiration cytology and core needle biopsy of breast lump. Int Surg J. 2020;7(7):2325-31.
Wetzig NR. Mastalgia: a 3 year Australian study. Aust N Z J Surg. 1994;64:329-31.
Moideen Nafseer TA, Sunil Krishna M, Shenoy KR. Clinical Profile of Cyclincal and Noncyclical Mastalgia. N Indian J Surg. 2018;9(6):764-70.
Sarla GS. Mastalgia: Etiopathogenesis and Management: A 2 Year Experience. J Complement Med Alt Healthcare. 2019;10(3):555790.
Arslan M, Küçükerdem HS, Can H, Tarcan E. Retrospective analysis of women with only mastalgia. J Breast Health. 2016;12(4):151.
Bagale P, NV Dravid, Bagale S. Clinicopathological study of benign breast diseases. Int J Health Sci Res. 2013;3(2):47-54.
Downloads
Published
How to Cite
Issue
Section
