Management of Mastalgia

ElSherif, Ayat; Valente, Stephanie A.

doi:10.1016/j.suc.2022.06.001

Cited by 5 publications

(4 citation statements)

References 94 publications

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“…Referred pain is defined as pain originating from an internal organ, and chest pain from the abdomen or gastrointestinal tract may be a result of a wide range of upper gastrointestinal diseases [ 19 ]. Patients with epigastric or retrosternal pain resulting from gastritis, peptic ulcer disease, or reflux esophagitis may also experience chest pain similar to mastalgia [ 20 , 21 ]. In this study, when painful breast quadrants were evaluated, the proportion of patients with pain in the LUI quadrant was significantly higher in the rural group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Presentation Types and Clinical Findings of Rural and Urban Patients with Mastalgia: A Retrospective Analysis of 730 Patients from Turkey

Kucuk

2024

Med Sci Monit

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Background Breast pain, prevalent among women of reproductive age, varies during menstrual cycles and is influenced by sociodemographic and clinical factors. This study aimed to assess these demographic and clinical variables in women with breast pain, considering the spatial distinctions between urban and rural locations. Material/Methods This retrospective study included 730 women presenting with mastalgia between 2010 and 2023. The study evaluated patient demographics, pain characteristics (eg, breast pain duration, site, quadrant-based localization, and radiation of breast pain), radiologic findings, and the presence of comorbid medical conditions. Results There were 498 patients in the urban group and 232 patients in the rural group. Among the radiologic findings, the rate of mastitis was higher in the rural group ( P <0.05). Regarding the localization of breast pain within the quadrants, left breast upper-inner (LUI) quadrant pain was more common in the rural group ( P =0.014). Regarding comorbid medical conditions, the prevalence of gastrointestinal system disease was higher in the rural group ( P =0.009). Using logistic regression analysis, gastrointestinal disease was determined to be a significant independent risk factor for increased LUI quadrant pain in the rural group (odds ratio [OR]: 3.132, P =0.014), while pre-existing thyroid disease (OR: 2.482, P =0.004), hypertension (OR: 2.534, P =0.006), and radiologic evidence of ductal ectasia (OR: 2.878, P =0.03) were independent risk factors in the urban group. Conclusions Patient outcomes may be improved by a tailored, population-based approach to mastalgia patients in rural and urban locations focused on their radiologic findings and comorbid medical conditions.

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Section: Discussionmentioning

confidence: 99%

Comparison of Presentation Types and Clinical Findings of Rural and Urban Patients with Mastalgia: A Retrospective Analysis of 730 Patients from Turkey

Kucuk

2024

Med Sci Monit

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“…У передменструальний період цей нефізіологічний викид пролактину може бути настільки потужним, що рівень пролактину у сироватці крові часто наближається до значень, які неправильно інтерпретуються як пролактиноми [22]. Як зазначає A. ElSherif, циклічну масталгію діагностують у 67% пацієнток зі справжньою масталгією (автор наголошує на необхідності диференціації екстрамамарної причини болю у грудях, нециклічної та циклічної масталгії) [23].…”

Section: л е к ц і ї т а о г л я д иunclassified

Fibrocystic changes of the mammary glands: interpretation of the diagnosis, issues of diagnosis and treatment (Literature review)

Zavizion

2024

RHW

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In the Ukrainian-language medical literature there is very little correct information about benign changes in the mammary glands, publications mostly date from the eighties of the last century – the beginning of the current one. This article is a review of modern scientific domestic and foreign sources, which are devoted to the problem of benign changes of the mammary glands and recommendations for their treatment, which are based on the evidence base. The article analyzes 40 publications, mostly by foreign scientists.The prevalence of non-neoplastic changes in the mammary glands, which in most cases in Ukraine are interpreted as “mastopathy”, require a revision of the concept of the problem. Non-neoplastic changes in the mammary glands are most often represented by different variants of the so-called aberration of normal development and involution, which are not pathological, but, according to some signs, are those that are close to pathology, but are considered as a variant of the norm. The diagnosis should be changed to a specified variant of the aberration.The article raises problems about the difficulty of distinguishing between normal and pathological condition, considers the main positions of diagnosis and treatment of fibrocystic changes of the mammary glands, gynecological diseases that are accompanied by this pathology, and genetic prerequisites. Detailed characteristics of the main components of herbal preparations used for the treatment of mammary gland hyperplasia are also presented.Changing the interpretation of the term “fibrocystic mastopathy” to the term “fibro-cystic changes” helps to revise views on the need for therapeutic measures, since the diagnosis “mastopathy” automatically prompts therapy, while the term “changes” primarily indicates the need drawing attention to the problem, correction of lifestyle, nutrition, etc., dynamic supervision and only for diagnosing fibrocystic disease – resolving the issue of treatment.

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“…The pain is often described as a vague aching discomfort, although it can also be on either side of the breast and occasionally feel heavy or burning. The three main types of breast pain are structure/extra-mammary discomfort (produced by the chest wall), cyclical mastalgia (linked to the menstrual cycle), and noncyclical mastalgia (unrelated to the menstrual cycle) [4].…”

Section: Introductionmentioning

confidence: 99%

“…To identify the underlying reason, a history, physical exam, and targeted imaging should be performed on patients who have new, persistent localized breast pain [4]. Breast pain is often benign but may occasionally be linked to malignancy.…”

Section: Introductionmentioning

confidence: 99%

Non-Cyclical Mastalgia and its Effects on Daily Life among Women Visiting the Breast Disease Treatment Center at Shar Hospital in Sulaymaniyah City, Iraq

Rahim,

Hamasur,

Rahim

et al. 2023

JZS

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Background: Breast discomfort or pain, known as mastalgia, is a frequent symptom among female patients throughout their lifespan. Identification of the underlying causes through evaluation and target imaging is required for the patients' comfort. Aim: To assess the primary variables that cause non-cyclical mastalgia and how it affects women's lives. Methods: A quantitative-descriptive prospective study on a randomized, selected sample group of 100 patients with non-cyclical mastalgia in Breast Disease Treatment Center at Sulaimaniyah was done. A prepared questionnaire was used to interview the participants from January 15 to January 22, 2023. Results: Out of the 354 women who presented to the Breast Treatment Clinic during the study period, 100 (28.23%) were diagnosed with non-cyclical mastalgia. The common breast disorders among participants were simple, complex cyst and fat tissue necrosis on ultrasound. Mastalgia effects on daily life, interferes with usual sleep patterns of women (P=0.003), causes anxiety (P=0.001), had negative effect on exercise (P=0.002) and daily work (P=0.01) of women. Conclusions: Women over 40 years old who experience fear, tension, and anxiety due to the consequences of mastalgia, which interfere with regular sleep patterns and have an adverse effect on exercise and regular job duties, and most of them have breast problems on imagining, are more likely to suffer from non-cyclical mastalgia.

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Management of Mastalgia

Cited by 5 publications

References 94 publications

Comparison of Presentation Types and Clinical Findings of Rural and Urban Patients with Mastalgia: A Retrospective Analysis of 730 Patients from Turkey

Comparison of Presentation Types and Clinical Findings of Rural and Urban Patients with Mastalgia: A Retrospective Analysis of 730 Patients from Turkey

Fibrocystic changes of the mammary glands: interpretation of the diagnosis, issues of diagnosis and treatment (Literature review)

Non-Cyclical Mastalgia and its Effects on Daily Life among Women Visiting the Breast Disease Treatment Center at Shar Hospital in Sulaymaniyah City, Iraq

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