Clinical Approach to Patients with Mastalgia in Breast Disease Outpatient Clinic
Sezgin Zeren 1 * , Zülfü Bayhan, Cengiz Koçak
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1 Department of General Surgery, Faculty of Medicine, Dumlupinar University, Turkey* Corresponding Author


Objective: The aim of this study was to report our ap­proach and outcomes of patients applied to our breast disease policlinic with mastalgia.
Methods: The records of 877 patients presented with mastalgia to breast disease policlinic between April 2014 and January 2016 were examined retrospectively. Age, sex, body mass index (BMI), mammography breast im­aging-reporting and data system score (BIRADS), ultra­sonography evaluation, biopsy status, pathology results and operation procedures were investigated. Correlation between BIRADS score, age and BMI were analyzed.
Results: All of the patients were female and median age was 49,0 years. Ultrasound showed breast mass in 283 (32.3%) patients and 165 (18.8%) of these underwent fine needle aspiration or true cut biopsy. Only 14 (8.5%) patients were diagnosed as malignant. Eight of the ma­lignant cases had breast conserving surgery. Ages of the patients showed significant positive correlation with BIRADS classification values of the patients (r = 0.069, p = 0.04). However, BMI values did not correlate with BI­RADS classification values of the patients.
Conclusion: Mastalgia is a common symptom in women. In high risk patients for breast carcinoma, it should be investigated seriously. Both mammography and ultraso­nography can be used at the same time for diagnoses. Especially in patients having dense breasts including young’s, mammography alone cannot be satisfying for the evaluation.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

J Clin Exp Invest, 2016, Volume 7, Issue 1, 23-28

Publication date: 01 Mar 2016

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Article Downloads: 904

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