Noureen Shaukat, Farhat Jaleel.
Ultrasound findings in patients with Mastalgia.
J Surg Pak Jan ;21(4):130-3.

Objective: To determine the frequency of different ultrasound findings in patients presenting with mastalgia. Study design: Cross sectional study. Place & Duration of study: Department of Surgery, Dow University Hospital Karachi, from January 2016 to June 2016. Methodology: This study included female patients of any marital status and parity who presented to surgical OPD of Dow University Hospital with the complaints of breast pain for more than one month duration. All patients were advised ultrasound breast after history and examination. The ultrasound findings were recorded on a performa. Results: A total of 70 female patients, aged 15-60 year, were included. Mean age of the patients was 30.07 year. Mean duration of breast pain was 5.3 months. Ultrasonographic imaging findings showed fibroadenoma in 22 (31.4%), a simple cyst in 18 (14.3%), malignancy in 1 (1.4%) and 6 (8.6%) patients had duct ectasia. Mastitis was shown in 3 (4.3%) and 1 (1.4%) had abscess on ultrasound. Other patients (n=27 - 38.6%) had completely normal breast on ultrasound, among them 81.5% had cyclic and 18.5% noncyclic breast pain. Out of 22 (31.4%) patients in whom ultrasound reported fibroadenoma; in 18 (81.8%) there was a single lump while remaining 4 (18%) had multiple lumps in single or both breasts. Ten patients had a cystic lesion reported on ultrasound, out of which 7 had 2 or more cysts while 3 had a single cyst. Conclusions: Patients presenting with mastalgia may have different pathologies. Ultrasound helps to determine the exact cause so that appropriate treatment for the cause of breast pain can be provided.

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