The role of breast ultrasound in assessing patients with mastalgia in Erbil, Iraq
AbstractBackground and objective: This study aims to determine the role of breast ultrasound in assessing patients with localized or diffuse pain in the breast. Methods: This cross-sectional study involved 170 women with the mean age of 31 years presenting with breast pain who were referred to the Radiology Department of the Maternity and Rizgari Teaching Hospitals from October 2008 to September 2009. The breasts of each woman were examined by ultrasound scan with special attention was focused on the milk ducts. The presence and the width of the ducts were documented. Each woman was asked for pain intensity and breast pain intensity evaluated as mild, moderate and severe. Results: The ultrasonic assessment of the affected breast classified the participants into 4 categories; normal (29.9%), tubular (18.6%), ductasia (18.6%) and mass (32.8%). Among the 58 participants having mass in the breast, 48.3% had cystic mass and 51.7% had solid mass. The ultrasonic features of the mass showed that 86.2% of cases were benign and 13.8% were intermediate. The histopathological assessment of the masses shown that 46.4% were fibrocystic changes, 20.7% were fibroadenoma, 24.1% were benign cysts, 3.4% were malignancies and 5.2% were breast infections. Conclusion: The study results show that duct ectasia is a major factor in determining the severity of mastalgia with no significance difference between cyclical and non-cyclical mastalgia.
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