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OBGYN
| Term | Definition |
|---|---|
| Severe Breast Pain | -May be chronic and relapsing, and it may require pharmacologic treatment |
| Nonpharmacologic Therapies for Mastalgia | -Reassurance is the first line treatment -Wearing a supportive, well-fitting bra |
| Pharmacologic Therapies for Mastalgia | -Modifying the dose or route of hormone therapy may be helpful in reducing breast pain in a post-menopausal woman -Some pre-menopausal women report increased pain with use of hormonal contraception -Changing the delivery: pill to ring, may help |
| Complimentary and Alternative Therapies for Mastalgia | -Herbal products Vitex agnus-castus (chaste tree or chaste berry) and evening prim rose oil -V. agnus castus was found to be more effective than the placebo in studies |
| Isoflavones | -Naturally occurring phytoestrogens have been proposed as treatment for mastalgia |
| Treating Mastalgia with Diet | -Flaxseed bread diet was more effective than omega-3 fatty acid supplementation at reducing cyclic mastalgia |
| Mammogram | Best for detecting: calcifications, masses, and architectural distortion Limitations: cannot show if mass is solid or cystic; has lower sensitivity in women with dense breast tissue |
| Ultrasound | Best for detecting: differentiation of solid and cystic masses -Usually cannot show calcifications |
| MRI | -Must be enhanced with gadolinium contrast Best for detecting: tissue with increased blood flow (tumors); high sensitivity -Expensive; high rate of false positive |
| Tomosynthesis | Radiographs provide 3-D digital images; use in conjunction with 2-D mammographic images -Best for detecting: architectural distortion, masses, calcifications; detects cancer better than mammo -Slight increase in radiation exposure |
| Mastalgia Surgical Treatment | -Surgery is rarely indicated -Risk of replacing painful area with painful scar -Potential candidates: symptoms warrant reduction mammoplasty and women with refractory mastalgia who no other therapies have worked for |
| Mastalgia During Pregnancy | -Common during pregnancy and lactation -Pain is associated with the proliferation of breast tissue and hormonal influences on that tissue Abscesses can develop from mastitis |
| Nipple Discharge | -Classified as normal lactation, galactorrhea unrelated to childbearing, and nonmilky discharge which is usually benign |
| Nipple Discharge Associated with Cancer | -Nonmilky, spontaneous, unilateral, from a single duct and clear or bloody |
| Physiologic Nipple Discharge | -Bilateral, comes from multiple ducts, and is white, clear, yellow, green, or brown |
| Benign Breast Masses | Fibroadenomas and cysts -Lipomas, fat necrosis, phyllodes tumors, hamartomas, and galastoceles may also be encountered |
Created by:
elakhlani80
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