Clinical, Sonographical and Mamographic Findings in Women with Mastalgia

Mastalgia is a common breast disorder affecting lots of women during reproductive ages and leads to cancer phobia in some women. It increase clinical referring and disturb the social activities and familial communities. The aim of this study was to determine the clinical, sonogarphical and mammographic findings in patient with mastalgia. This cross-sectional study was done on 160 patients with mastalgia who referred to gynecologic clinic, Yahyanejad hospital, Babol University of medical sciences. They were examined by gynecologist, then in patients under 35 years sonography and older than 35 years mammography was done. Other information including age, menarche age, age of first pregnancy, number of delivery, history of oral contraceptive usage or hormone replacement therapy, family history of cancer, knowledge of diet recommendation for mastalgia and correlation of mastalgia with menstrual cycle were recorded for all patients. Data were analyzed using SPSS10. The mean age of patients was 34.8±9.9. Tenderness was observed in 122 (76.3%) patients. Fibrocystic disease was seen in 42 (53.2%) patients in mammography and 50 (40.3%) in sonography. There were normal findings in 29 patients (36.7%) in mammography and 60 patients (48.4%) in sonography. In the majority of women with mastalgia, sonography and mammography showed normal or fibrocystic changes. A comprehensive history and breast exam is essential to make decision.