Mastalgia causes: Difference between revisions
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==Causes== | ==Causes== | ||
=== Causes Related to the Breast=== | === Causes Related to the Breast=== | ||
* | * Fibrocystic changes | ||
*:* Increased number of cysts or fibrous tissue in otherwise normal breasts | *:* Increased number of cysts or fibrous tissue in otherwise normal breasts | ||
*:* Can be associated with pain or nipple discharge | *:* Can be associated with pain or nipple discharge - fibrocystic disease | ||
*:* If fibrocystic changes are cause of pain- found in 50-90% asymptomatic women | *:* If fibrocystic changes are cause of pain- found in 50-90% asymptomatic women | ||
*:* Hormonal etiology | *:* Hormonal etiology - pain often cyclic; most severe during luteal phase | ||
*:* Tissue edema/water retention with dilated/blocked ducts | *:* Tissue edema/water retention with dilated/blocked ducts - not proven | ||
* | * Mastitis or breast abscess | ||
*:* Acute onset, usually due to Staphylococcus aureus (S. aureus) or streptococci | *:* Acute onset, usually due to Staphylococcus aureus (S. aureus) or streptococci | ||
*:* Erythema, local tenderness induration | *:* Erythema, local tenderness induration | ||
*:* Most common in lactating women | *:* Most common in lactating women | ||
* | * Pendulous Breasts | ||
*:* Pain due to stretching of Cooper’s ligaments | *:* Pain due to stretching of Cooper’s ligaments | ||
* | * Hidradenitis suppurativa | ||
*:* Can involve the breast | *:* Can involve the breast | ||
*:* Presents with painful breast nodules | *:* Presents with painful breast nodules | ||
=== Causes Unrelated to the Breast === | === Causes Unrelated to the Breast === | ||
* | * Trauma to chest wall | ||
* | * Fat Necrosis | ||
*:* Usually induced by trauma | *:* Usually induced by trauma | ||
*:* Tender, firm mass, +/- calcification on mammogram | *:* Tender, firm mass, +/- calcification on mammogram | ||
* | * Costochondritis | ||
* | * Intercostal neuralgia | ||
*:* Usually due to a respiratory infection | *:* Usually due to a respiratory infection | ||
* | * Pleuritic pain from underlying pulmonary/pleural disease | ||
* | * Thoracic Spine Arthritis | ||
* | * Referred chest pain | ||
*:* Gallbladder disease | *:* Gallbladder disease | ||
*:* Ischemic heart disease | *:* Ischemic heart disease | ||
Revision as of 16:17, 31 March 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
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Causes
Causes Related to the Breast
- Fibrocystic changes
- Increased number of cysts or fibrous tissue in otherwise normal breasts
- Can be associated with pain or nipple discharge - fibrocystic disease
- If fibrocystic changes are cause of pain- found in 50-90% asymptomatic women
- Hormonal etiology - pain often cyclic; most severe during luteal phase
- Tissue edema/water retention with dilated/blocked ducts - not proven
- Mastitis or breast abscess
- Acute onset, usually due to Staphylococcus aureus (S. aureus) or streptococci
- Erythema, local tenderness induration
- Most common in lactating women
- Pendulous Breasts
- Pain due to stretching of Cooper’s ligaments
- Hidradenitis suppurativa
- Can involve the breast
- Presents with painful breast nodules
- Trauma to chest wall
- Fat Necrosis
- Usually induced by trauma
- Tender, firm mass, +/- calcification on mammogram
- Costochondritis
- Intercostal neuralgia
- Usually due to a respiratory infection
- Pleuritic pain from underlying pulmonary/pleural disease
- Thoracic Spine Arthritis
- Referred chest pain
- Gallbladder disease
- Ischemic heart disease