Mastalgia causes: Difference between revisions
Jump to navigation
Jump to search
(→Causes) |
|||
Line 8: | Line 8: | ||
* Fibrocystic changes | * 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 - fibrocystic disease | *:* 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 - pain often cyclic; most severe during luteal phase | *:* Hormonal etiology - pain often cyclic; most severe during luteal phase | ||
*:* Tissue edema/water retention with dilated/blocked ducts - not proven | *:* Tissue edema/water retention with dilated/blocked ducts - not proven | ||
* Mastitis or breast abscess | * [[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 | * Pendulous breasts | ||
*:* Pain due to stretching of Cooper’s ligaments | *:* Pain due to stretching of [[Cooper’s ligaments]] | ||
* Hidradenitis suppurativa | * [[Hidradenitis suppurativa]] | ||
*:* Can involve the breast | *:* Can involve the breast | ||
*:* Presents with painful breast nodules | *:* Presents with painful breast nodules | ||
Line 27: | Line 27: | ||
*:* Usually induced by trauma | *:* Usually induced by trauma | ||
*:* Tender, firm mass, +/- calcification on mammogram | *:* Tender, firm mass, +/- calcification on mammogram | ||
* Costochondritis | * [[Costochondritis]] | ||
* Intercostal neuralgia | * [[Intercostal neuralgia]] | ||
:* Usually due to a [[respiratory infection]] | |||
* Pleuritic pain from underlying pulmonary/pleural disease | * [[Pleuritic pain]] from underlying pulmonary/pleural disease | ||
* Thoracic spine arthritis | * Thoracic spine arthritis | ||
* Referred chest pain | * Referred chest pain | ||
:* [[Gallbladder disease]] | |||
:* [[Ischemic heart disease]] | |||
===Flowchart=== | ===Flowchart=== |
Revision as of 17:39, 31 March 2013
Mastalgia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Mastalgia causes On the Web |
American Roentgen Ray Society Images of Mastalgia causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
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
Flowchart
Breast Pain | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Cyclic Pain | Localized Tenderness | Generalized Tenderness | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Premenstural Syndrome | Trauma Mastitis Abscess Herpes Zoster Breast Fibroadenoma | Fibrocystic Diseases Pregnancy Alcoholism Caffeine | Digitalis Methyl-Dopa Spironolactone Chlorpromazine Estrogens Oral Contraceptives | ||||||||||||||||||||||||||||||||||||||||||||||||||||||