Clinical and USG findings of patients presented with breast pain
Introduction: Breast pain also known as mastalgia is the dull ache in the breast, the cause is multifactorial. It can affect any age group. Breast cancer is the most common site-specific cancer in women and is the leading cause of death from cancer for women aged 20-59 years worldwide. In India, breast cancer has ranked number one cancer among females, with an age-adjusted incidence as high as 25.8 per 100,000 women and mortality of 12.7 per 100,000 women. Objective: To find out the Clinical and USG Findings of Patients Presented with Breast Pain. Settings and Design: Prospective cross-sectional descriptive study. Materials and Methods: Patients with complaints of breast pain in the age group 15 to 60 years with clinically no palpable mass attending to the Dept. of Clinical Oncology, Enam Medical College & Hospital, Savar, Dhaka, Bangladesh between January 2020 to December 2020 were included in the study. Detailed history with particular reference to age, duration of symptoms, Size, menstruation, marital status, parity, lactation, nipple discharge, and tenderness are recorded. Pain intensity was evaluated as mild, moderate, and severe. Ultrasound of the breast including the axilla was done for all cases and findings were recorded to correlate with clinical features. Results: Out of 90 patients studied, the majority were in the age group (21-30) years, (43%) followed by (31-40 years) (40%) respectively. 57(63%) were married and 33(43%) were single. 21 patients had 1 child, 18 had 2 children with 6 of them having no children. Out of 90 patients, only 3 attained menopause, the rest of them have their monthly cycles. 51 patients had cyclical breast pain and 39 had noncyclical breast pain, 39 had pain on the right breast, 36 on the left side, and bilateral in 15 patients. The pain was mild in 15 patients, moderate in 27 patients, and severe in 6 patients. Various USG findings of the affected breast were a normal study in 48 patients followed by duct ectasia and heterogeneous echogenicity fibroadenomas, small cystic lesion, and enlarged axillary lymph nodes, etc. Conclusion: The study results show that the majority of patients with breast pain without clinically palpable lumps had normal USG studies. But it also detects other early changes in the breast tissue. It can be used as a baseline investigation for any breast pain without palpable lumps.
Kumar HC, Khadri SI, Kemparaj T, et al. Benign breast diseases: our institutional experience. JEMDS2014; 3(62):13637-44.
Memon A, Parveen S, Sangrarasi AK, et al. Changing pattern of benign breast lumps in young females. World J Med Sci 2007; 2(1):21-4.
Morris KT, Pommier RF, Morris A, et al. Usefulness of the triple test score for palpable breast masses. Arch Surg2001; 136(9):1008-13.
Johnsen C. Breast disease. A clinical study with special reference to diagnostic procedures. Acta Chir Scand Suppl 1975; 454:1-108.
Bassett LW, Ysrael M, Gold RH, et al. Usefulness of mammography and sonography in women less than 35 years of age. Radiology1991; 180(3):831-5.
Ertem G, Kocer A. Breast examination among nurses and midwives in Odemis health district in Turkey. Indian J Cancer2009; 46(3):208-13.
hekwaba FN. Benign breast disease in Nigerian women: a study of 657 patients. J R Coll Surg Edinb1994; 39(5):280-3.
Greenberg R, Skornick Y, Kaplan O. Management of breast fibroadenomas. J Gen Intern Med1998; 13(9):640-5.
Nadia AG. Benign breast disorders-a histopathological studying Tikrit city. Diyala J Med2012; 3(1):27-35.
Gupta A, Gupta AK, Goyal R, et al. A study of clinical profile of benign breast diseases presenting at a tertiary care center in central India. Scholar J Appl Med Sci2015; 3(2C):695-700.
Chaudhary IA, Qureshi SK, Rasul S, et al. Pattern of benign breast diseases. J Surg Pak 2003; 8:5-7.
Sharma A, Chanchlani R. A study of the spectrum of benign breast disease in a tertiary care institute of central India. J Evi Based Med Healthcare2015; 2(5):551-5.