No abstract available.
Breast* ; Mastodynia*

No abstract available.
Dysmenorrhea* ; Female ; Mastodynia* ; Premenstrual Syndrome*

No abstract available.
Female ; Mammaplasty* ; Mastodynia* ; Neuroma* ; Superficial Back Muscles*

This regulatory post-marketing surveillance study aimed to evaluate the therapeutic efficacy and safety of drospirenone (DRSP) 2 mg/estradiol (E₂) 1 mg tablet in Korean postmenopausal women. A total of 4,149 patients were enrolled and the study was conducted at 207 clinical research centers. The patients' source data was collected between November 2006 and November 2012. More than 85% of patients experienced improvement of menopausal symptoms. The most frequently reported adverse events were vaginal bleeding and breast pain; most of the women suffering from these symptoms fully recovered. The incidence of adverse event was higher in patients of younger age (20 to 39 years), in patients with concomitant diseases, previous hormone replacement therapy in medical history, those treated with DRSP 2 mg/E₂ 1 mg for shorter duration (3 years or less) and in patients using concomitant medication. In conclusion, the results from this large post-marketing surveillance study confirm the efficacy and safety of DRSP 2 mg/E₂ 1 mg tablet in Korean postmenopausal women.
Female ; Hormone Replacement Therapy ; Humans ; Incidence ; Mastodynia ; Menopause ; Uterine Hemorrhage

Premenstrual syndrome is a common chronic disorder in most women of reproductive age. The main symptoms are depression, anxiety, tension, feeling out of control, and mastalgia. In premenstrual syndrome, the effects of aromatic edible Elsholtzia splendens and Cirsium japonicum were investigated for over 3 months in 30 women participants in their twenties. In the Elsholtzia splendens capsule treated group, scores of depression and anxiety were significantly lower than those in the Cirsium japonicum capsule treated group. Moreover, instability of the premenstrual assessment form was significantly decreased in the Elsholtzia splendens capsule treated group. Our results suggest that Elsholtzia splendens could be an effective plant material in relieving symptoms of premenstrual syndrome.
Anxiety ; Cirsium ; Depression ; Female ; Humans ; Mastodynia ; Plants ; Premenstrual Syndrome

Benign breast problems, particularly the common one of cyclical pain in young women, can be safely and effectively managed in primary care, can be safely and effectively managed in primary care. This benefits the patient, who is appropriately treated without the anxiety and turnmoil of hospital referral, the GP, who gains job satisfaction, the hospital clinic, which has more time for more needy women, and the NHS, which saves money.
Human ; Female ; PRIMARY HEALTH CARE ; STANDARDS ; MASTODYNIA ; BREAST ; BREAST NEOPLASMS

To determine the clinical profile of benign and malignant mastalgia in terms of age distribution, geographic location, laterality, pain severity and pattern.

METHOD: This is a 3-year (April 1,2001 until March 31, 2004) retrospective chart review of female patients presenting with mastalgia in a hospital-based government breast center at Vicente Sotto Memorial Medical Center, Cebu City. Malignant mastalgia was diagnosed based on histopathologic findings. Pain severity assessment was based on a numeric scale of 0 to 10. Exclusion criteria include patients without mastalgia as chief complaint, no histopathologic confirmation of malignancy and males. All statistical computations were done using Chi square test with a = 0.05.

RESULTS: A total of 1237 patients (89 percent) had benign mastalgia with an average age of 29.72 +/- 10.96 years and 156 (11 percent) had malignant mastalgia with an average of 48.92 +/- 11.96 years. Patients less than 60 years of age had a statistically significant probability that their mastalgia is due to benign pathology (p < 0.001 at a 0.05). However, for 60 years of age. there is a significant probability that the cause of mastalgia is malignant (p < 0.001). Right-sided mastalgia showed a significant probability for a benign cause (p value of 0.0132). Further, non-cyclical pain pattern significantly connotes malignant mastalgia with p < 0.001. No significant differences were found for geographic location and pain severity.

CONCLUSION: Age above 60 years, right-sidedness and non-cyclical pain pattern are the only significant factors for differentiating whether the mastalgia is due to a benign or malignant etiology.

PURPOSE: Rapid progress in the development of communication devices has enabled us to use large amounts of various kinds of medical information, regardless of time or place. Today, in Korea there are many homepages on the web which provide medical information, hospital information, and counseling on medical fields in Korea, but more detailed recent medical informations, better quality control, and a greater variety of communication skills are needed. Methods and RESULTS: We analysed the data on the web from November 1998 to October 1999 about breast cancer clinic. The frequent questions were about breast mass (44%), breast pain (29%), and counseling on breast cancer (25%). The most frequent users were in their 3rd decade (55%), 4th decade (8%), and unknown age cases (23%). The average number of visitors on web was 454 per month. CONCLUSION: In near future, we believe that use of the web as an information source will grow rapidly and the most of the people in Korea will use internet. For that purpose, we should realize that virtual space is a reality, and we should use it as an effective technique for educating the public.
Breast Diseases* ; Breast Neoplasms ; Breast* ; Counseling* ; Internet* ; Korea ; Mastodynia ; Quality Control

Periductal mastitis is an inflammatory disease of uncertain etiology affecting the major breast ducts and has been given a variety of names by different authors. The treatment of this condition varies according to the clinical manifestations and the state of recurrence. Thirty-two cases of periductal mastitis during the period of 5 years from March 1991 to February 1996 were reviewed to investigate the clinical characteristics and to assess the results of different surgical procedures. The mean age of the patients was 41.2 years with a range of 26~64 years. The clinical manifestations included mastalgia (93.8%), abscess (43.8%), palpable mass (37.5%), nipple retraction (34.1%), and nipple discharge (21.9%). Aerobic and anaerobic bacteria were isolated in nine of 16 cultures. Acute inflammatory indurations in 6 patients were treated with antibiotics(cephalosporine combined with metronidazole) alone, and abscesses in 14 were treated by incision and drainage plus antibiotics. Twelve patients with a discrete mass had primary excision of the mass and diseased major ducts under antibiotics cover. Recurrence rates after initial treatment for inflammatory indurations, abscesses, and discrete masses were 66.7%, 50%, and 16.7%, respectively, and the median recurrence rate was 31.3%. Thirteen patients with recurrent diseases were treated by excision of the entire major duct system following appropriate preoperative management including, antibiotics and/or incision and drainage; this resulted in satisfactory healing in all without recurrences. In conclusion, initial treatment for patients with inflammatory indurations or abscesses should be more conservative even though nearly half of such patients eventually may require further surgery. Also, there were several recurrences even after excision of the diseased major duct system. To avoid these recurrences, we suggest that a discrete inflammatory mass that does not respond to antibiotic therapy and any recurrent diseases be treated by excision of the entire major duct system rather than by excision of only the diseased ducts.
Abscess ; Anti-Bacterial Agents ; Bacteria, Anaerobic ; Breast ; Drainage ; Female ; Humans ; Mastitis* ; Mastodynia ; Nipples ; Recurrence

PURPOSE: A fibroadenoma is a very common benign breast tumor, which has been reported to be present in 7 to 13% of patients examined in breast clinics. This study was carried out, at a university hospital in Daegu, Korea, to find the clinical manifestations and characteristics of fibroadenomas in Korean women. METHODS: Four hundred and sixty-four patients, with pathological diagnosis of fibroadenomas, who underwent excisional biopsies, between January 1996 and December 2001, were included in this study. Clinical manifestations, diagnoses, including the sonographic findings, and the clinical characteristics, including the mean age of the patients at the time of diagnosis, tumor siz and location, and the solitary or multiple nature of the tumor, were analysed. RESULTS: The most common symptom was a palpable mass in the breast. In the majority of patients (81.5%), a mass was the only symptom, but the breast mass was associated with breast pain in only 8.8% of patients. Diagnosis was usually made from the characteristic clinical and sonographic findings. Frozen section examinations were rarely necessary for the differentiation from a carcinoma. The mean age of the patients was 34 years, but 34% of the women were aged 40 or older. Left sided fibroadenomas were slightly more common than those of the right. Bilateral tumors were found in 9.3% of patients. The most common locations of the breast tumors were the upper outer quadrant, followed by the center and upper inner quadrant. The mean size of the tumor was 2.35 cm. CONCLUSION: The clinical manifestations in Korean women were similar to those in Western reports, but the age at diagnosis was older in this study.
Biopsy ; Breast ; Breast Neoplasms ; Daegu ; Diagnosis ; Female ; Fibroadenoma* ; Frozen Sections ; Humans ; Korea ; Mastodynia ; Ultrasonography