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Most of the concerns of women with a risk of developing breast cancer. However, isolated pain is rarely a sign of that terrible disease, for which usually is characterized by the concomitant presence of a tumor-education …
Diseases of the breast are very diverse and are characterized by numerous clinical manifestations: pain, including those with pressure, changes in the general form of the glands, form or structure of the glands (the appearance of seals, tumor formations in the usual soft tissue). Pain in one or both breasts (mastalgia) is one of the frequent complaints by women of any age, but more often the problem faced by young women with preserved menstrual function.
Most of the concerns of women with a risk of developing breast cancer. However, isolated pain is rarely a sign of that terrible disease, for which usually is characterized by the concomitant presence of tumor formation.
Causes of pain in one or both breasts:
Hormonal changes during puberty (the so-called puberty age), as well as during pregnancy or menopause, premenstrual syndrome, breast cancer, breast feeding, breast infections (mastitis, breast abscess), trauma of breast cancer, including surgical treatment Receiving some drugs: estrogensoderzhaschih, digoxin, methyldopa, spironolactone, oxymetholone, and chlorpromazine.
The main clinical variants:
1. Cyclical mastalgia – pain associated with menstrual cycle.
This type of violation is characterized by:
The appearance of pain in the premenstrual period, and the weakening or disappearance of the beginning of menstruation. Sometimes a clear link with the beginning of menstruation is absent. Usually, bilateral localization, predominantly in the upper, outer area of the mammary glands. Varying intensities of painful sensations – from the dull, aching (more often) to express that impede the movement with his hands. Pain may give in the armpit or arm. The examination can detect a slight roughness mammary tissue. Severity of clinical manifestations usually increases with age and dramatically weakens or disappears after menopause. Emergence of cyclic mastalgia associated with changes in hormonal background. This kind of breach affects more than 2 / 3 of women, usually young reproductive age, but there are similar complaints from women in postmenapauzalnom period receiving hormone replacement therapy drugs.
2. Acyclic mastalgia – onset of chest pain not related to the menstrual cycle. This type of violation is usually affects women older than 40 years.
Characteristics: The pain often one-sided. Localization – mainly in the middle of the breast, around the nipple. Sharp, burning, cutting nature of pain. Perhaps as a periodic and continuous.
Localized, long-term persistent pain in the breast may be associated with the presence in it fibroadenoma (benign tumor) or a cyst. However, in order to exclude more serious causes of acyclic mastalgia (eg, breast cancer), is recommended as possible before treatment to a specialist.
3. Mastitis and other infectious diseases. In addition to local symptoms (pain, redness, swelling of the breast) are accompanied by the phenomena of intoxication (fever, sometimes with chills, headache, violation of appetite, general weakness, etc.). Often, mastitis occurs in the postpartum period in connection with the penetration of pathogens through mikrotreschinki nipple and stagnation in the iron milk.
4. Breast. In different degrees of pain (but they may not have!) Is characterized by tumor formation with indistinct contours, usually in the upper outer area of the breast may change in the skin over the tumor in the form of wrinkling or "orange peel", retracted nipple or discharge from his . The risk of developing breast cancer is higher in nulliparous women or women who later gave birth to her first child, women with a hereditary predisposition, overweight, the presence of mastitis.
Obligatory diagnostic dairy activity is a self-glands. It should become a routine part of life for all women over the age of 20 years. Regular a self allows you to learn well the shape and structure of your breasts and easily identify any changes in them. A self should be done 1 time per month, better than at the end of each menstrual period, or at the same time, women in postmenapauzalnom period.
Terms of self: Stand in front of the mirror and inspect the breasts in front and
laterally in 4 positions: with hands down, with your hands, with hands laid on hips, with the torso forward.
Raising his left hand, right hand gently in a circular motion to grope all the left mammary gland in the direction from top to bottom, similarly, but with his left hand to grope the right breast.
Lie on your back, placing a cushion under his right shoulder and clasped his right hand behind his head. Direct fingers of his left hand to grope the right breast from the periphery to the nipple, similar to inspect the left mammary gland right hand. Squeeze the nipple gently to ensure the absence of any abnormal discharge, felt the armpits.
See your doctor if you notice:
- Change the shape, size or asymmetry of the breast,
- Seal of tissue in the breast or armpit,
- Retracted nipple
- Allocation of the nipple,
- Change the skin of breast (redness, wrinkling, type "orange" or "lemon peel").
What should a woman with mastalgia?
1. In addition to her self-recommended keeping a diary for at least 2 months, indicating the frequency of pain symptoms and communication with periods of the menstrual cycle.
2. Annual consultation with mammologist (specialist in diseases of mammary glands), a gynecologist or oncologist – primarily women after 35 years.
3. Women older than 35 years (especially at risk of developing breast cancer) are recommended to conduct an annual mammogram – x-ray diffraction studies of mammary glands.Mammography is one of the methods of early diagnosis of breast cancer.
4. Other methods of diagnosis include ultrasound, target biopsy of suspicious breast tissue sections.
The majority of women with mastalgia breast examination and mammography results are normal. In this case, the diagnosis of breast cancer is unlikely and pain, most likely related to changes in the mammary glands against the background of physiological hormonal fluctuations.
Treatment
In 60-80% of breast pain in the absence of seals in its fabric are alone. However, expressed pain, complicating your daily activity, lasting more than a few days each month or the presence of symptoms suggestive of an inflammatory response (fever, redness and swelling of the breast, pain with pressure) require treatment.
So far, there is insufficient scientific data on the effectiveness of therapeutic measures for cyclical mastalgia. We recommend wearing a suitable bra, a diet low in fat and restriction of dietary products containing methylxanthines (eg caffeine-containing foods), intake of vitamins B and E. Although the effectiveness of dietary interventions and vitamin remains unproven, described cases of relief of pain in Some women who adhere to these recommendations.
When the ineffectiveness of these activities, consult a doctor because may require the appointment of per oral contraceptives or danazol (antigonadotropny drug) with the aim of correcting hormonal disturbances. Avoid self-treatment, including herbal drugs.
Treatment of acyclic mastalgia based on the treatment of disease, underlying it. If the cause is not installed, used as a treatment plan for cyclic mastalgia. Detection of cysts or tumors used surgical treatment, which may be supplemented with the malignant nature of tumor radiotherapy or chemotherapy. Treatment of mastitis, depending on the stage and severity of the process include antibiotics with or without surgical opening of the inflammatory focus.
Dear women, remember that your breasts can be not only a perfect creation of nature, but also a source of health-related problems. Therefore, the appearance of pain and / or change shape, size and consistency of the breast – to contact a specialist. This will help maintain your health, and in some cases and your life!
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