Vol. 2, Issue 4, Part K (2016)

Material and Methods: A prospective observational research was performed on 50 female patients who came with breast pain at the outpatient department of a tertiary care hospital. This research was performed in the Department of General Surgery, Pondicherry University, R.V. Nagar, Kalapet, Puducherry, India, from March 2015 to February 2016. Comprehensive clinical histories and physical examinations were documented. All patients received breast ultrasonography. The results were examined for the existence of cysts, fibroadenomas, ductal ectasia, mastitis, or malignancy. Clinical results were evaluated according to diagnosis and treatment approaches.

Results: Beside fibrocystic changes (30%), simple cysts (22%), and fibroadenomas (18%), 38 (76%) of the 50 patients exhibited benign USG results. In 12% of patients, we found inflammatory alterations like mastitis. In this group, no cancers were found. Reassurance and symptomatic treatment were enough for 82% of patients, but aspiration or antibiotic medication were necessary for 18%. During the course of the follow-up, 90% of patients reported an improvement in their clinical symptoms.

Conclusion: The majority of causes of breast pain are not cancerous. To rule out cancer and direct treatment, ultrasonography is an excellent non-invasive diagnostic tool. The significance of imaging in preventing needless intrusive treatments is highlighted by the fact that most instances may be treated conservatively.