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Ultrasound Analysis of Patients with Mastalgia with and without Palpable Mass
- Source :
- Journal of Gandhara Medical and Dental Sciences, Vol 11, Iss 1 (2023)
- Publication Year :
- 2023
- Publisher :
- Gandhara University, 2023.
-
Abstract
- OBJECTIVES To assess the clinical significance of mastalgia by investigating its association with breast lumps and the utility of diagnostic workup in cases where a palpable abnormality does not accompany mastalgia. METHODOLOGY This prospective cross-sectional study was conducted from May to July 2023 at the Radiology Department, Khyber Teaching Hospital, Peshawar. The sample size was 246, taking 80% prevalence of mastalgia, 5% margin of error and 95% confidence level. All females referred, after physical examination, to ultrasound breast with complaints of mastalgia were included in this study. RESULTS Among 246 women with a mean age of 30.9 years presented with mastalgia, 17.5% (43) had breast lump. 69.2% (170) women had BIRADS 1, while 31% (76) had BIRADS 2. None had BIRADS 3,4 or 5. 37 (15.1%) had cyclic, while 209 (85%) presented with non-cyclic mastalgia. Pathologies detected in women with lumps were abscess in 15 (34.8%), fibroadenoma in 14 (32.5%), mammary duct ectasia in 9 (20.9%), fibrocystic change in 4 (9.3%) and hematoma in 1 (2.3%) patient. Among 203 patients without palpable lump, 33 (16.3%) had positive sonographic findings, with mammary duct ectasia in 30 (91%), intramammary lymph nodes in 2 (6.1%) and fibroadenoma in 1 (3%) patient. CONCLUSION Sonographic findings of females with mastalgia were either normal or suggestive of benign lesions; hence, excessive use of ultrasound examinations may not be needed due to the fear of breast cancer.
Details
- Language :
- English
- ISSN :
- 23129433 and 26181452
- Volume :
- 11
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Gandhara Medical and Dental Sciences
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.3228e2fe310f4abcb24b9a9607ba53e4
- Document Type :
- article
- Full Text :
- https://doi.org/10.37762/jgmds.11-1.510