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[Breast pain: differential diagnosis and therapy]
Helvetica Chirurgica Acta
|April 1, 1989
Summary
Mastodynia, a common breast pain symptom, presents clinically in at least six patterns. Evaluating treatment effectiveness requires controlled studies comparing therapies against placebo responses.
Area of Science:
- Gynecology
- Oncology
- Pharmacology
Context:
- Mastodynia is the most frequent breast symptom affecting numerous women.
- At least six distinct clinical patterns of mastodynia exist.
- Current therapeutic strategies encompass hormones, steroids, prolactin inhibitors, vitamins, antioestrogens, diuretics, alternative medicines, and surgery.
Purpose:
- To review and evaluate management options for mastodynia from existing literature.
- To highlight the necessity of controlled studies for assessing therapeutic efficacy against placebo.
- To explore parameters for predicting patient response to various mastodynia treatments.
Summary:
- This review discusses the clinical presentation and management of mastodynia, a prevalent breast symptom.
- Various therapeutic agents including hormonal therapies, medications, and surgical options are considered.
- The importance of placebo-controlled trials in validating treatment effectiveness is emphasized.
Impact:
- Provides a comprehensive overview of mastodynia management strategies.
- Informs clinical decision-making by evaluating different therapeutic approaches.
- Underscores the need for evidence-based practice in treating breast pain.