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Related Experiment Videos

Non-cyclical mastalgia: an improved classification and treatment.

P R Maddox1, B J Harrison, R E Mansel

  • 1University Department of Surgery, University of Wales College of Medicine, Heath Park, Cardiff, UK.

The British Journal of Surgery
|September 1, 1989
PubMed
Summary

Differentiating non-cyclical breast pain into true mastalgia and musculoskeletal pain aids effective treatment. Musculoskeletal pain responded well to injections, while mastalgia treatments varied, with some patients experiencing spontaneous remission.

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Area of Science:

  • Medical Research
  • Pain Management
  • Clinical Diagnosis

Background:

  • Non-cyclical breast pain presents diagnostic challenges.
  • Distinguishing between true mastalgia and chest wall pain is crucial for effective management.
  • Previous studies have not clearly delineated the characteristics and treatment outcomes for these distinct pain types.

Purpose of the Study:

  • To prospectively study patients with non-cyclical breast pain.
  • To differentiate between true non-cyclical mastalgia and musculoskeletal chest wall pain.
  • To compare clinical characteristics, treatment responses, and prognosis for these two conditions.

Main Methods:

  • Prospective study of 72 patients with non-cyclical breast pain.
  • Subdivision into true non-cyclical mastalgia (35 patients) and musculoskeletal pain (37 patients).

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  • Analysis of patient demographics, pain characteristics, physical findings, and treatment outcomes.

    • Main Results:

    • Musculoskeletal pain patients were older (mean 39.3 vs 33.9 years) with shorter pain duration (14.7 vs 35.4 months).
    • True mastalgia was often bilateral in the upper outer quadrant; musculoskeletal pain was unilateral, lateral chest wall/costochondral.
    • 97% of musculoskeletal pain patients responded to injections; 64% of mastalgia patients responded to drugs, with varied spontaneous remission rates.

    Conclusions:

    • Differentiation of musculoskeletal pain from non-cyclical mastalgia is clinically important.
    • Accurate diagnosis allows for more targeted and effective treatment strategies.
    • This distinction aids in predicting patient prognosis and managing expectations.