Mastalgia causes: Difference between revisions
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=== Causes Unrelated to the Breast === | === Causes Unrelated to the Breast === | ||
* Trauma to chest wall | * Trauma to chest wall | ||
* Fat | * Fat necrosis | ||
:* Usually induced by trauma | :* Usually induced by trauma | ||
:* Tender, firm mass, +/- calcification on mammogram | :* Tender, firm mass, +/- calcification on mammogram |
Revision as of 17:28, 1 April 2013
Mastalgia Microchapters |
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Treatment |
Case Studies |
Mastalgia causes On the Web |
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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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||