Mastalgia causes: Difference between revisions
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=== Causes Related to the Breast=== | === Causes Related to the Breast=== | ||
* Fibrocystic changes | * 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 | *[[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 | * Pendulous breasts | ||
:* Pain due to stretching of [[Cooper’s ligaments]] | |||
* [[Hidradenitis suppurativa]] | * [[Hidradenitis suppurativa]] | ||
:* Can involve the breast | |||
:* Presents with painful breast nodules | |||
=== Causes Unrelated to the Breast === | === Causes Unrelated to the Breast === |
Revision as of 17:40, 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
- 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
- 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||