Journal of Clinical and Experimental Investigations

Abstract

Objective: The aim of this study was to report our ap­proach and outcomes of patients applied to our breast disease policlinic with mastalgia.
Methods: The records of 877 patients presented with mastalgia to breast disease policlinic between April 2014 and January 2016 were examined retrospectively. Age, sex, body mass index (BMI), mammography breast im­aging-reporting and data system score (BIRADS), ultra­sonography evaluation, biopsy status, pathology results and operation procedures were investigated. Correlation between BIRADS score, age and BMI were analyzed.
Results: All of the patients were female and median age was 49,0 years. Ultrasound showed breast mass in 283 (32.3%) patients and 165 (18.8%) of these underwent fine needle aspiration or true cut biopsy. Only 14 (8.5%) patients were diagnosed as malignant. Eight of the ma­lignant cases had breast conserving surgery. Ages of the patients showed significant positive correlation with BIRADS classification values of the patients (r = 0.069, p = 0.04). However, BMI values did not correlate with BI­RADS classification values of the patients.
Conclusion: Mastalgia is a common symptom in women. In high risk patients for breast carcinoma, it should be investigated seriously. Both mammography and ultraso­nography can be used at the same time for diagnoses. Especially in patients having dense breasts including young’s, mammography alone cannot be satisfying for the evaluation.