Mastalgia-Cancer Relationship: A Prospective Study.
OBJECTIVE
Mastalgia is an important symptom affecting approximately 70% of women and it disrupts the quality of life especially due to the worry of having cancer. In our study, the type and severity of mastalgia symptom of patients who presented to the outpatient clinic with mastalgia complaint were assessed along with their physical examination findings and radiology results. The purpose of the study is to demonstrate the relationship between mastalgia and malignity when assessed in combination with the risk factors of patients.


METHODS
The age, family history, menopausal status, age at the first childbirth, menarche, presence/absence of hormone replacement therapy, type of mastalgia, comorbidities and examination findings of 104 patients, who presented to the General Surgery outpatient clinic with mastalgia symptom, were recorded and assessed in the light of radiological study results.


RESULTS
With respect to the mastalgia types of the patients, 38.5% had cyclic pain, 57.7% non-cyclic pain and 3.8% other types of pain. Mild mastalgia was present in 46.2% of the patients, moderate mastalgia in 24% and severe mastalgia in 29.8% of them. According to the BIRADS category, 48.1% of the patients were identified to have BIRADS 1 mass lesions, 39.4% BIRADS 2, 9.6% BIRADS 3 and 2.9% BIRADS 5 mass lesions. The patients who were identified to have BIRADS 5 mass lesions described non-cyclic and severe pain in the post-menopausal period. They had palpable masses along with the pain symptom.


CONCLUSIONS
Our study suggests that mastalgia symptom does not per se result in suspicion of malignancy, but physical examination and radiological imaging should also be used as needed for confirmation. Studies with a larger patient population are needed to shed light on the mastalgia epidemiology and its relationship with cancer.
Department of General Surgery, Kars Harakani State Hospital, Kars, Turkey.
Ali Cihat
AC
Yıldırım
Department of Internal Medicine, Osmangazi University Faculty of Medicine, Eskişehir, Turkey.
Pınar
P
Yıldız
Department of General Surgery, Yunus Emre State Hospital, Eskişehir, Turkey.
Mustafa
M
Yıldız
Department of General Surgery, Kars Harakani State Hospital, Kars, Turkey.
Şahin
Ş
Kahramanca
Department of General Surgery, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara Turkey.
Hülagü
H
Kargıcı
Mastodynia; breast cancer; mammography; ultrasonography