Sonographic Ultrasound Evaluation of Mastalgia and to Determine the Relationship between Breast Duct Diameter and Severity of Mastalgia

Authors

  • Sundus Aziz
  • Amjad Sattar
  • Ayesha Walid
  • Anila Rahim
  • Nasreen Naz
  • Husson Ara

Abstract

OBJECTIVE: To determine the breast ultrasound findings in patients with Mastalgia and the relationship between breast duct diameter and severity of Mastalgia.

METHODOLOGY: A prospective cross-sectional study carried out at Dow Institute of Radiology, Dow University of Health Sciences from June-December 2021. Female patients, irrespective of age, presenting with Mastalgia without any prominent finding on clinical examination were included. A fellowship-trained radiologist performed an ultrasound. Data analysis was performed on SPSS 22.0

RESULTS: Total 380 patients were included. The mean age of the patients was 36.3±11.5 years, and the mean VAS score was 3.2±1.2. A total of 234(61.6%) had mild pain, 139(36.6%) had moderate pain and 7(1.8%) had severe pain. The mean duct diameter in patients with Mastalgia was 2.9±3.7 mm, with 220(57.9%) patients having a diameter <2.0 mm and 160(42.1%) having a diameter >2.0 mm. Duct ectasia was found in 161(42.4%). Mastalgia was significantly higher in patients with duct ectasia (p-value <0.001) and in patients with fibrocystic change (p-value <0.001).

CONCLUSION: Duct ectasia, fibrocystic changes, infective/inflammatory changes, and axillary lymphadenopathy were sonographic features of Mastalgia. Mastalgia was significantly higher in patients with duct ectasia, duct diameter >2.0 mm and in patients with fibrocystic changes.

Keywords: Mastalgia, Duct ectasia, fibrocystic changes, breast pain.

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Published

21-06-2023

How to Cite

1.
Aziz S, Sattar A, Walid A, Rahim A, Naz N, Ara H. Sonographic Ultrasound Evaluation of Mastalgia and to Determine the Relationship between Breast Duct Diameter and Severity of Mastalgia. J Liaq Uni Med Health Sci [Internet]. 2023 Jun. 21 [cited 2024 Nov. 22];22(02):110-4. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/1033

Issue

Vol. 22 No. 02 (2023): Journal of Liaquat University of Medical & Health Sciences

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Original Articles

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