MANAGEMENT OF MASTALGIA : A CLINICAL CHALLENGE

DR. MILIND KUMAR SINHA

Volume : VI, Issue : XII, December - 2016

MANAGEMENT OF MASTALGIA : A CLINICAL CHALLENGE

Dr. Milind Kumar Sinha

Abstract :

INTRODUCTION:Breast pain or mastalgia is one of the most common benign condition of the east coming to surgical OPD. Patients come to clinician either to rule out east cancer or for the treatment of depression & anxiety associated with mastalgia and hence all patients with mastalgia must be thoroughly examined, investigated and adequately managed. METHODS: 220 patients, who had mastalgia for more than 3 months, were treated with Centchroman 30 mg daily ,Danazol 100 mg daily and Tamoxifen 10 mg daily. Treatment was continued for 2 months with all these medicines. Some of the patients who did not respond well either with Danazol or Tamoxifen or Centchroman were further treated with Centchroman for 2 more months. RESULTS: 220 Patients of mastalgia were taken into consideration in this study. Out of these 143 were having Cyclical mastalgia and 77 were having non–cyclical. Cyclical mastalgia was commoner in younger age group than non–cyclical. Treatment was started in both the groups with either Centchroman or Danazol or Tamoxifen.The patients were followed up for 2 months.Those patients not showing good response with Tamoxifen or Danazol or Centchroman were further treated with Centchroman for 2 more months. Satisfactory results were noted with Centchroman. CONCLUSION: This study has demonstrated that Centchroman therapy is found safe and cost effective . It helps in improving the quality of life by its high cure rate in comparison with Danazol and Tamoxifen.