Correlation of clinical and sonological features in cases of mastalgia without a palpable lump
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 8
Abstract
Background: Mastalgia is defined as pain, dull ache or heaviness in the breast. The most common cause of mastalgia is Aberration of Normal Development and Involution (ANDI) of breast tissue [1]. It can occur during adolescence, pregnancy and perimenopause. Materials and methods: Patients with complaints of breast pain in the age group 15-64 years with clinically no palpable mass attending to the surgical OPD in a tertiary care hospital between August2013- August 2015 (two years) were included in the study. Out of 700 patients who presented with pain in one or both breast, 482 (68%) had fibroadenoma, 78 (11%) were fibroadenosis with nodularity in breast followed by 50 (7%) cases had abscess and 40 (5.7%) had mastalgia without any palpable lesion which are included in this study. Detail history with particular reference to age, duration of symptoms, side of preponderance, menstruation, marital status, parity, lactation, nipple discharge and tenderness are recorded. Pain is recorded by subjective numerical pain intensity scale of 0-10. Clinical findings with particular reference to tenderness, quadrants involved are recorded. Ultrasound of the breast was done for all cases and findings recorded to correlate with clinical features. Results: Regarding age distribution, 18 (45%) patients belong to age group 26-35 years followed by 11 (27.5%) in age group of 36-45 years. 8 (20%) of patients were in the age group of 15-25 years. Remaining 3 (7.5%) were above 46 years. 20 (50%) had symptoms of < 1 month duration, 10 (25%) had duration of 1 - 6 months, 3 (7.5%) had symptoms for more than 6 months.13 (32.5%) had pain on right side, 16 (40%) had pain on left side, 11 (27.5%) had pain both sides. Severity of pain varied from 1 – 10 with an average of 5.4. 36 (90%) are married, 4 (10%) are unmarried. 35 (87.5%) had children, 5 (12.5%) were nulliparous. 32 (80%) women are having regular menstrual cycles and 8 (20%) were not menstruating due to either following hysterectomy or attained menopause apart from 3 (7.5%) patients were lactating mothers. Conclusion: The sonological findings of altered echogenisity and cystic changes can be the baseline while starting the treatment in patients with mastalgia without palpable lesion. These findings will also guide in assessing the response and follow-up of these patients.
Authors and Affiliations
Keerthi Sunil Kumar, Manga Muralidhar
Keywords
Related Articles
- EP ID EP487607
- DOI -
- Views 141
- Downloads 0
A comparative study of 0.75% ropivacaine and 0.5% bupivacaine for epidural anesthesia in patients undergoing lower abdominal and lower extremity surgeries
Background: Regional anaesthesia has come to occupy an important part in clinical anaesthesiology today. As with other fields, regional anaesthesia too has undergone major developments both in techniques and drug availab...
Correlation between posterior edentulousness and temporomandibular disorder in adult population: A case control study
Back ground: Posterior tooth loss significantly reduces chewing efficiency, causes loss of posterior support, movement of remaining teeth and changes in occlusal contacts, in turn, increasing risk of temporomandibular di...
A comparative study of Longo’s procedure without stapler versus open hemorrhoidectomy in 2nd and 3rd degree hemorrhoids
Introduction: Hemorrhoids are one of the commonest anal disorders that affect mankind from the down of the history. Traditional open hemorrhoidectomy has an evil reputation due to post operative severe pain. So to reduce...
A study to compare the efficacy of dexmedetomidine with esmolol on hemodynamic response during laparoscopic cholecystectomy
Introduction: Laparoscopic surgery is a routinely performed surgery and it is desirable to have stable intra-operative hemodynamic states by avoiding hypertension and tachycardia. Various drugs have been employed to atte...
Prevalence of musculoskeletal disorders and psychosocial aspects among dentists - A survey
Background: Musculoskeletal symptoms or disorders among dentists have been major concern in recent years. The most frequent injuries occur in spine (neck and back), shoulders, elbow and hands. In order to summarize, the...