Workshop/Conference

  2017 Workshop/Conference Title: 59F with nocturnal episodes of altered sensorium Active participants:  Rakesh Biswas  ,  Avinash Kumar  , ...

Saturday, 6 March 2021

Bilateral Mastalgia since 5 years

 

Shweta Gupta, Vivek Poddar and 5 others
22 comments
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  • Rakesh Biswas
    Admin
    Dr 
    Swagata Brahmachari
     for your inputs
    1
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    • 4 y
  • Aadipta Ghosh
    Cyclic mastalgia is caused due to fibrocytic changes. As mentioned in the mammograms it may be fibroadenoma. One needs to find out the causes of non cyclic mastitis here in this patient. 
    Rakesh Biswas
     sir
    2
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    • 4 y
  • Rakesh Biswas
    Admin
    Is there anything in the imaging that needs or can be studied pathologically after a biopsy? What would you do for her pain that appears to be unbearable to her?
    1
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    • 4 y
  • Avinash Kumar
    Admin
    yes sir, squamous papilloma in histopathology report
    2
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    • 4 y
  • Avinash Kumar
    Admin
    opioids like tramadol for pain relief if unbearable as its due to papilloma
    1
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    • 4 y
    • Edited
  • Avinash Kumar
    Admin
    Cyclic Pain - The pain is usually most severe before a menstrual period and is often relieved when a period ends. Cyclic breast pain occurs more often in younger women. Most cyclic pain goes away without treatment and usually disappears at menopause. … 
    See more
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    • 4 y
    • Edited
  • Aadipta Ghosh
    I would investigate the squamous papilloma , check for nipple discharges,ruptured cysts and any palpable masses if present 
    Rakesh Biswas
     sir
    3
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    • 4 y
    • Edited
  • Swagata Brahmachari
    First the levels of Sr Prolactin has to be assessed. Then Cabergolin is given if found raised
    Current Medical Research and Opinion
    Evidence for the Management of Mastalgia… 
    See more
    3
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    • 4 y
  • Swagata Brahmachari
    Primosa or vit E is just placebo
    2
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    • 4 y
  • Swagata Brahmachari
    I have used Ormeloxifene (Sevista or Novex 30mg) in pts of mastalgia and small fibroadenoma (<2cm) with very good results clinically and radiologically
    3
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    • 4 y
    • Rakesh Biswas
      Admin
      Any clinical trials that may have looked at the efficacy of ormeloxifene 
      Swagata
      ?
      1
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      • 4 y
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  • Swagata Brahmachari
    Dhar A, Srivastava A (June 2007). "Role of centchroman in regression of mastalgia and fibroadenoma". World J Surg. 31 (6): 1178–84. doi:10.1007/s00268-007-9040-4. PMID 17431715
    1
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    • 4 y
  • Swagata Brahmachari
    This pts main problem is noncyclical mastalgia which was cyclical previously.Breast imaging is Birads 3 in which regular monitoring is must
    Hence treatment should be symptomatic. Vulval pathology is not related to symptoms as it is most probably viral in origin (HPV) and also needs regular radiological screening
    2
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    • 4 y
  • Swagata Brahmachari
    Int J Reprod Contracept Obstet Gynecol. 2015; 4(4): 1057-1060doi: 10.18203/2320-1770.ijrcog20150426
    1.Efficacy of SEVISTA (Ormeloxifene) in treatment of mastalgia and fibrocystic breast disease
    Vandana Bansal, Arpit Bansal, Ashwani Kumar Bansal.
    1
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    • 4 y
  • Rakesh Biswas
    Admin
    We reviewed this patient in the OPD and the mastalgia appeared to be part of a generalized problem of myalgia (or fibromyalgia if you will). There are many psychological issues that require addressing in this patient 
    Debasish
    , 
    Amy
at

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