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[Breast pain: differential diagnosis and therapy]
Mastodynia is the most frequent symptom of all breast symptoms which is experienced by a large number of women at some stage in their lives. At least 6 patterns of mastodynia can be distinguished clinically. Hormones, steroids, prolactin-inhibitors, vitamins, antioestrogen, diuretics, alternative drugs and surgery are used in therapy. But only controlled studies allow to demonstrate the effects of a therapy in comparison to a placebo response rate. Several investigators tried to find parameters to predict the response to the different therapies. The management options from the literature are discussed and evaluated.
Mastodynia is the most frequent symptom of all breast symptoms which is experienced by a large number of women at some stage in their lives. At least 6 patterns of mastodynia can be distinguished clinically. Hormones, steroids, prolactin-inhibitors, vitamins, antioestrogen, diuretics, alternative drugs and surgery are used in therapy. But only controlled studies allow to demonstrate the effects of a therapy in comparison to a placebo response rate. Several investigators tried to find parameters to predict the response to the different therapies. The management options from the literature are discussed and evaluated.