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Related Experiment Videos

Management of cyclical mastalgia.

J A Pain1, C J Cahill

  • 1King's College Hospital, London.

The British Journal of Clinical Practice
|November 1, 1990
PubMed
Summary

This study surveyed UK surgeons on cyclical mastalgia treatments. Danazol is the most common drug, but breast specialists prefer treatments with fewer side effects for initial management.

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Area of Science:

  • Oncology
  • General Surgery
  • Pharmacology

Background:

  • Cyclical mastalgia is a common breast condition requiring effective management.
  • Current treatment strategies for cyclical mastalgia vary among healthcare providers.
  • Understanding established treatment protocols is crucial for optimizing patient care.

Purpose of the Study:

  • To investigate the current treatment practices for cyclical mastalgia among UK general surgeons.
  • To identify the most frequently prescribed medications and interventions.
  • To differentiate treatment approaches between general surgeons and breast disease specialists.

Main Methods:

  • A postal questionnaire was distributed to 276 randomly selected UK consultant general surgeons.
  • The questionnaire focused on treatments for initial reassurance and persistent cyclical mastalgia.
  • Response rate was 89% (245 surgeons), with 219 seeing breast disease patients.

Main Results:

  • Danazol was the most commonly prescribed drug (75% of surgeons).
  • Non-specialist initial treatments included danazol (31%), analgesia (19%), and diuretics (17%).
  • Breast surgeons' initial treatments included evening primrose oil (30%), tamoxifen (13%), and vitamin B6 (13%).
  • For persistent pain, non-specialists used danazol (46%) and surgery (18%), while specialists used danazol (65%) and bromocriptine (30%).

Conclusions:

  • A wide array of therapies are employed for cyclical mastalgia.
  • Danazol is the predominant pharmacological treatment.
  • Breast specialists often initiate treatment with agents having fewer side effects, reserving danazol and bromocriptine for refractory cases.
  • Local excision biopsy is considered for persistent, unresponsive pain by non-specialist surgeons.

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