Cargando…

Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria

BACKGROUND: Patients with breast pain are likely to be very worried because some consider pain in the breast as an indication of malignancy. OBJECTIVE: To highlight the causes of pain in the patients are presenting to our breast clinic. MATERIALS AND METHODS: A prospective study of all consenting pa...

Descripción completa

Detalles Bibliográficos
Autores principales: Egwuonwu, Ochonma A, Anyanwu, Stanley NC, Chianakwana, Gabriel U, Ihekwoaba, Eric C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785698/
https://www.ncbi.nlm.nih.gov/pubmed/27013851
http://dx.doi.org/10.4103/1117-6806.169822
_version_ 1782420449578188800
author Egwuonwu, Ochonma A
Anyanwu, Stanley NC
Chianakwana, Gabriel U
Ihekwoaba, Eric C
author_facet Egwuonwu, Ochonma A
Anyanwu, Stanley NC
Chianakwana, Gabriel U
Ihekwoaba, Eric C
author_sort Egwuonwu, Ochonma A
collection PubMed
description BACKGROUND: Patients with breast pain are likely to be very worried because some consider pain in the breast as an indication of malignancy. OBJECTIVE: To highlight the causes of pain in the patients are presenting to our breast clinic. MATERIALS AND METHODS: A prospective study of all consenting patients with breast disease presenting to the breast clinic was conducted from January 2004 to December 2008. RESULTS: A total of 664 patients presented to the breast clinic during the study period. Of this number, 127 presented with breast pain either as the sole symptom or in association with other symptoms. The presenting complaints were a pain, pain with lump, and pain with nipple discharge in 63 (49.6%), 59 (46.4%), and 5 (4.0%) patients, respectively. The pain was noncyclical in 96 (75.6%) patients. The site of the pain was whole breast in 87 (68.5%) patients and a lump in 40 (31.5%). The clinical diagnosis in 31 (24.4%) cases was fibrocystic disease, 28 (22.0%) cancer, 23 (18.1%) unknown, 10 (7.9%) fibroadenoma, 8 (6.3%) duct ectasia, 6 (4.7%) normal breast, and others 21 (16.5%) cases benign diseases were diagnosed. The histological diagnosis was fibrocystic changes, carcinoma, and fibroadenoma in 15 (42.9%), 10 (28.6%), and 5 (14.3%) patients, respectively. Others were benign phyllodes, abscess, duct ectasia, chronic mastitis, and lipoma, each constituting 1 (2.9%) case. CONCLUSION: Breast pain constitutes a small proportion of complaints to our breast clinic. Fibrocystic changes were the most common cause of breast pain both clinically and histologically.
format Online
Article
Text
id pubmed-4785698
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-47856982016-03-24 Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria Egwuonwu, Ochonma A Anyanwu, Stanley NC Chianakwana, Gabriel U Ihekwoaba, Eric C Niger J Surg Original Article BACKGROUND: Patients with breast pain are likely to be very worried because some consider pain in the breast as an indication of malignancy. OBJECTIVE: To highlight the causes of pain in the patients are presenting to our breast clinic. MATERIALS AND METHODS: A prospective study of all consenting patients with breast disease presenting to the breast clinic was conducted from January 2004 to December 2008. RESULTS: A total of 664 patients presented to the breast clinic during the study period. Of this number, 127 presented with breast pain either as the sole symptom or in association with other symptoms. The presenting complaints were a pain, pain with lump, and pain with nipple discharge in 63 (49.6%), 59 (46.4%), and 5 (4.0%) patients, respectively. The pain was noncyclical in 96 (75.6%) patients. The site of the pain was whole breast in 87 (68.5%) patients and a lump in 40 (31.5%). The clinical diagnosis in 31 (24.4%) cases was fibrocystic disease, 28 (22.0%) cancer, 23 (18.1%) unknown, 10 (7.9%) fibroadenoma, 8 (6.3%) duct ectasia, 6 (4.7%) normal breast, and others 21 (16.5%) cases benign diseases were diagnosed. The histological diagnosis was fibrocystic changes, carcinoma, and fibroadenoma in 15 (42.9%), 10 (28.6%), and 5 (14.3%) patients, respectively. Others were benign phyllodes, abscess, duct ectasia, chronic mastitis, and lipoma, each constituting 1 (2.9%) case. CONCLUSION: Breast pain constitutes a small proportion of complaints to our breast clinic. Fibrocystic changes were the most common cause of breast pain both clinically and histologically. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4785698/ /pubmed/27013851 http://dx.doi.org/10.4103/1117-6806.169822 Text en Copyright: © Nigerian Journal of Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Egwuonwu, Ochonma A
Anyanwu, Stanley NC
Chianakwana, Gabriel U
Ihekwoaba, Eric C
Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria
title Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria
title_full Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria
title_fullStr Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria
title_full_unstemmed Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria
title_short Breast Pain: Clinical Pattern and Aetiology in a Breast Clinic in Eastern Nigeria
title_sort breast pain: clinical pattern and aetiology in a breast clinic in eastern nigeria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785698/
https://www.ncbi.nlm.nih.gov/pubmed/27013851
http://dx.doi.org/10.4103/1117-6806.169822
work_keys_str_mv AT egwuonwuochonmaa breastpainclinicalpatternandaetiologyinabreastclinicineasternnigeria
AT anyanwustanleync breastpainclinicalpatternandaetiologyinabreastclinicineasternnigeria
AT chianakwanagabrielu breastpainclinicalpatternandaetiologyinabreastclinicineasternnigeria
AT ihekwoabaericc breastpainclinicalpatternandaetiologyinabreastclinicineasternnigeria