Mastalgia causes: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Mastalgia}} | {{Mastalgia}} | ||
{{CMG}} | {{CMG}} {{AE}} {{ADI}} {{Hilda}} | ||
==Overview== | |||
==Causes== | ==Causes== | ||
=== Causes Related to the Breast=== | === Causes Related to the Breast=== |
Revision as of 09:24, 24 April 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] Hilda Mahmoudi M.D., M.P.H.[3]
Overview
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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||