The role of breast ultrasound in assessing patients with mastalgia in Erbil, Iraq

Havin A. Akreyi

doi:10.15218/zjms.2013.0011

Authors

Havin A. Akreyi Department of surgery , College of Medicine, Halwer Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2013.0011

Keywords:

Mastalgia, ultrasound, breast mass

Abstract

Background and objective: This study aims to determine the role of breast ultrasound in assessing patients with localized or diffuse pain in the breast. Methods: This cross-sectional study involved 170 women with the mean age of 31 years presenting with breast pain who were referred to the Radiology Department of the Maternity and Rizgari Teaching Hospitals from October 2008 to September 2009. The breasts of each woman were examined by ultrasound scan with special attention was focused on the milk ducts. The presence and the width of the ducts were documented. Each woman was asked for pain intensity and breast pain intensity evaluated as mild, moderate and severe. Results: The ultrasonic assessment of the affected breast classified the participants into 4 categories; normal (29.9%), tubular (18.6%), ductasia (18.6%) and mass (32.8%). Among the 58 participants having mass in the breast, 48.3% had cystic mass and 51.7% had solid mass. The ultrasonic features of the mass showed that 86.2% of cases were benign and 13.8% were intermediate. The histopathological assessment of the masses shown that 46.4% were fibrocystic changes, 20.7% were fibroadenoma, 24.1% were benign cysts, 3.4% were malignancies and 5.2% were breast infections. Conclusion: The study results show that duct ectasia is a major factor in determining the severity of mastalgia with no significance difference between cyclical and non-cyclical mastalgia.

Metrics

Metrics Loading ...

References

Naz N, Sohail S, Memon MA. Utility of breast imaging in mastalgia. JLUMHS 2010; 9(1): 12-6.

Marrow M. The evaluation of common breast problems. Am Fam Physician 2000;61:2371-8.

Yakut ZI, Kafali H, Karaoglanoglu M, Koktener A, Duvan CI. A new radiological approach to cyclic mastalgia: Venous Doppler ultrasound. The Breast 2009;18:123-5.

Smith RL, Pruthi S, Fitzpatrick LA. Evaluation and management of breast pain. Mayo Clin Proc 2004;79:353–72.

Gumm R. Evidence for the management of mastalgia. Cur Med Res Opin 2004;20:681-4.

Hanif AM, Rasool S. Presentation, management and outcome of mastalgia. J Surg Pak 2005;10:15-7.

Plu-Bureau G, Lê MG, Sitruk-Ware R, Thalabard JC. Cyclical Mastalgia and Breast Cancer Risk: Results of A French Cohort Study. Cancer Epidemiol Biomarkers Prev 2006; 15:12-29.

Smith RL, Pruthi S, Fitzpatrick LA. Evaluation and management of breast pain. Mayo Clin Proc 2004;79(3):353-72.

Preece PE, Mansel RE, Bolten PM, Hughes LE, Baum M, Gravelle IH. Clinical syndromes of mastalgia. Lancet 1976;2:670-3.

Kiguli-Malwadde E, Mubuuke AG, Businge F, Kawooya GM, Nakatudde R, Byanyima KR, Muyinda Z. Current knowledge, attitudes and practices of women on breast cancer and mammography at Mulago Hospital. Pan African Medical Journal. 2010; 5:9.

Kailash S, Tariq A, Ghanshyam DG. The accuracy of ultrasound in diagnosis of palpable breast lumps. JK Science. 2008; 10:4

Morrow M. The Evaluation of Common Breast Problems. Am Fam Physician 2000; 61(8):2371-8.

Khanna S, Arya NC, Khanna NN. Spectrum of benign breast diseases. Ind J surgery. 1988;3:169-75

Smallwood JA, Guyer P, Dewbury K. The accuracy of ultrasound in the diagnosis of breast disease. Ann R Coll surg Engl. 1986;68:19-22.

Gonzaga MA. How accurate is ultrasound in evaluating palpable breast masses? Pan Afr Med J. 2010; 7: 1.

Kopans DB, Meyer JE, Lindfors KK. Whole breast ultrasound imaging: four year follow up. Radiology. 1985;157:505-7.

Mansoor T, Ahmed A, Syed HH. Role of ultrasonography in the differential diagnosis of palpable breast lumps. Ind J Surgery. 2002;64(6):499-501

Stavros AT, Thickman D, Rapp CL, Dennis MA, Parker SH, Sisney GA. Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology. 1995; 196: 123-34.

Fleischer AC, Muhletaler CA, Reynolds VH. Palpable breast masses: evaluation by high frequency hand held real-time sonography and xero-mammography. Radiology. 1983;148:813-17.

Harvey JA. Sonography of palpable breast masses. Semin Ultrasound CT MR. 2006;27(4):284-97.