Die Bedeutung der Mastalgie in der Mammadiagnostik

Abstract

Of 700 women on whom mammograms were carried out for various indications, more than half complained of mastalgia. A quarter of the women had suffered frequently from diffuse breast pain, and one third complained of mastaglia. A quarter of the women had suffered frequently from diffuse breast pain, and one third had had pain for years. One third complained of local breast pain. Changes in the mammogram amongst women with diffuse breast pain were no more common than in women without symptoms. There was no correlation between the frequency of pain and the extent of a "mastopathy". There were no changes which could be related to the pain. Similarly there was no difference in the frequency of biopsies or women kept under observation between those with breast pain and those without. This was also true for those with local breast pain, and also for those with clinically occult conditions. Breast size was of no significance for the occurrence of pain. Neither local nor diffuse breast pain is of any specific significance in breast diagnosis.

Serum Prolactin and Oestradiol Levels in Women with Cyclical Mastalgia

“…Severe cyclical mastalgia may be seen in women whose breasts are normal or moderate to heavy fibroadenotic (Bischoff and Wenderlein 1979). demonstrated that women suffering from cyclical mastalgia and well developed diffuse fibroadenosis have slightly, but significantly elevated basal serum prolactin concentrations compared to normals.…”