Yıldırım Ali Cihat, Yıldız Pınar, Yıldız Mustafa, Kahramanca Şahin, Kargıcı Hülagü
Department of General Surgery, Kars Harakani State Hospital, Kars, Turkey.
Department of Internal Medicine, Osmangazi University Faculty of Medicine, Eskişehir, Turkey.
J Breast Health. 2015 Apr 1;11(2):88-91. doi: 10.5152/tjbh.2015.2492. eCollection 2015 Apr.
Mastalgia is an important symptom affecting approximately 70% of women and it disrupts the quality of life especially due to the worry of having cancer. In our study, the type and severity of mastalgia symptom of patients who presented to the outpatient clinic with mastalgia complaint were assessed along with their physical examination findings and radiology results. The purpose of the study is to demonstrate the relationship between mastalgia and malignity when assessed in combination with the risk factors of patients.
The age, family history, menopausal status, age at the first childbirth, menarche, presence/absence of hormone replacement therapy, type of mastalgia, comorbidities and examination findings of 104 patients, who presented to the General Surgery outpatient clinic with mastalgia symptom, were recorded and assessed in the light of radiological study results.
With respect to the mastalgia types of the patients, 38.5% had cyclic pain, 57.7% non-cyclic pain and 3.8% other types of pain. Mild mastalgia was present in 46.2% of the patients, moderate mastalgia in 24% and severe mastalgia in 29.8% of them. According to the BIRADS category, 48.1% of the patients were identified to have BIRADS 1 mass lesions, 39.4% BIRADS 2, 9.6% BIRADS 3 and 2.9% BIRADS 5 mass lesions. The patients who were identified to have BIRADS 5 mass lesions described non-cyclic and severe pain in the post-menopausal period. They had palpable masses along with the pain symptom.
Our study suggests that mastalgia symptom does not per se result in suspicion of malignancy, but physical examination and radiological imaging should also be used as needed for confirmation. Studies with a larger patient population are needed to shed light on the mastalgia epidemiology and its relationship with cancer.
乳腺疼痛是一种影响约70%女性的重要症状，尤其因担心患癌而扰乱生活质量。在我们的研究中，对因乳腺疼痛主诉前来门诊就诊的患者的乳腺疼痛症状类型和严重程度，连同其体格检查结果和放射学检查结果进行了评估。本研究的目的是在结合患者危险因素进行评估时，阐明乳腺疼痛与恶性病变之间的关系。
记录并根据放射学研究结果评估了104例因乳腺疼痛症状前来普通外科门诊就诊患者的年龄、家族史、绝经状态、初产年龄、月经初潮、是否接受激素替代治疗、乳腺疼痛类型、合并症及检查结果。
关于患者的乳腺疼痛类型，38.5%有周期性疼痛，57.7%有非周期性疼痛，3.8%有其他类型疼痛。46.2%的患者有轻度乳腺疼痛，24%有中度乳腺疼痛，29.8%有重度乳腺疼痛。根据美国放射学会（ACR）乳腺影像报告和数据系统（BIRADS）分类，48.1%的患者被确定有BIRADS 1类乳腺肿块病变，39.4%为BIRADS 2类，9.6%为BIRADS 3类，2.9%为BIRADS 5类乳腺肿块病变。被确定有BIRADS 5类乳腺肿块病变的患者在绝经后描述有非周期性和重度疼痛。她们除疼痛症状外还有可触及的肿块。
我们的研究表明，乳腺疼痛症状本身不会引起对恶性病变的怀疑，但必要时也应进行体格检查和放射学成像以确诊。需要对更多患者进行研究，以阐明乳腺疼痛的流行病学及其与癌症的关系。
