Mastalgia history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

History and Symptoms

  • Timing of pain
    • Cyclic
      • Associated with menstrual cycle, worst before the menses
      • Tends to occur in younger women, usually resolves spontaneously
    • Noncyclic
      • Unrelated to menses or in post-menopausal patient
      • Most common in women ages 40-50
      • Can be due to underlying fibroadenoma or cyst
      • May resolve with therapy of underlying lesion
  • Location of pain
    • Cyclic pain tends to be bilateral, poorly localized, +/- radiation to arm/axilla
    • Noncyclic tends to be unilateral, sharp, well localized
  • Menstrual irregularities
  • Medications
    • Changes in medications may exacerbate mastalgia

References


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