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S Harth, C Behrens, F C Roller, G F P Alzen, G A Krombach
Purpose: To analyze referral indications, imaging findings and diagnoses in breast sonography in a division of pediatric radiology. Materials and Methods: Breast ultrasound examinations of 270 patients were analyzed for referral reasons, imaging findings and final diagnoses (152 females, 118 males). The mean age of the patients was 8.8 years (range, 6 days-18 years). Each breast was examined systematically in two orthogonal probe orientations. Pathological findings were documented on two orthogonal imaging planes...
February 4, 2016: Ultraschall in der Medizin
Dolrudee Songtish, Prinya Akranurakkul
OBJECTIVE: This study aimed to identify the clinical presentation, natural history, severity and associatedfactors in Thai women presented with mastalgia. MATERIAL AND METHOD: One hundred and five Thai women with breast pain who visited HRH Princess Maha Chakri Sirindhorn Medical Center were interviewed with breast pain. The data about socio-economic status, sign and symptoms of breast pain, associated factors, mental status and quality of life at first presentation and 6-12 months afterward were collected...
October 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Meral Sen, Murat Ozgur Kilic, Ozlem Cemeroglu, Duygu Icen
OBJECTIVE: The purposes of this study were to determine the coexistence of mastalgia and fibromyalgia, to investigate the effects of this combination on pain patterns, and to discuss the status of breast pain in the diagnostic algorithm of fibromyalgia syndrome. METHODS: Sixty-one female patients reporting breast pain during the last three months and 53 female patients diagnosed with fibromyalgia syndrome were enrolled in this study. The Breast Pain Questionnaire was administered to all participants in the mastalgia group and to those in the fibromyalgia syndrome group who had experienced mastalgia during the past three months...
November 2015: Clinics
C Ngô, J Seror, N Chabbert-Buffet
OBJECTIVES: To evaluate the diagnostic value of clinical examination and additional tests in the exploration of breast pain, to evaluate the strategy of their care and to provide recommendations. METHODS: A literature search in English and French carried out by consulting the databases PubMed, Cochrane Library and international recommendations. RESULTS: Clinical examination and interrogation, with the use of visual analog scale used to differentiate non-cyclical breast pain from mastodynia (LE2)...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
V Lavoué, X Fritel, M Antoine, F Beltjens, S Bendifallah, M Boisserie-Lacroix, L Boulanger, G Canlorbe, S Catteau-Jonard, N Chabbert-Buffet, F Chamming's, E Chéreau, J Chopier, C Coutant, J Demetz, N Guilhen, R Fauvet, O Kerdraon, E Laas, G Legendre, C Mathelin, C Nadeau, I Thomassin Naggara, C Ngô, L Ouldamer, A Rafii, M-N Roedlich, J Seror, J-Y Séror, C Touboul, C Uzan, E Daraï
Breast sonography is required with mammogram to explore clinical breast mass (grade B), colored unipore breast nipple discharge (grade C), or mastitis (grade C). Bi-RADS system is recommended to describe and classify breast-imaging abnormalities. For breast abscess, a percutaneous biopsy is recommended in case of mass or persistent symptoms (grade C). For mastodynia, when breast imaging is normal, no MRI neither breast biopsy is recommended (grade C). Percutaneous biopsy is recommended for BI-RADS 4-5 mass (grade B)...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Noelene K Jeffers
No abstract text is available yet for this article.
November 2015: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Annalisa Capuano, Cristina Scavone, Cristiana Vitale, Liberata Sportiello, Francesco Rossi, Giuseppe M C Rosano, Andrew J Stewart Coats
The role of spironolactone and eplerenone in patients with Heart Failure with preserved Ejection Fraction (HFpEF) is not well defined. Since a growing medical literature has suggested that mineralocorticoid receptor antagonists may be beneficial for patients with HFpEF, this review gives an in-depth update on the role of spironolactone and eplerenone and their implications for therapy in the setting of HFpEF. Eleven clinical studies, including seven randomized trials, were reviewed. Two randomized controlled trials evaluated the effect of eplerenone on different end-points, including 6 minute walk distance (6 MWD), cardiovascular mortality, non-fatal reinfarction, hospitalization for unstable angina and congestive heart failure...
December 1, 2015: International Journal of Cardiology
Anders Fagerlund, Luigi Cormio, Lina Palangi, Richard Lewin, Fabio Santanelli di Pompeo, Anna Elander, Gennaro Selvaggi
INTRODUCTION: Gynecomastia and/or mastodynia is a common medical problem in patients receiving antiandrogen (bicalutamide or flutamide) treatment for prostate cancer; up to 70% of these patients result to be affected; furthermore, this can jeopardise patients' quality of life. AIMS: To systematically review the quality of evidence of the current literature regarding treatment options for bicalutamide-induced gynecomastia, including efficacy, safety and patients' quality of life...
2015: PloS One
Janine Timmers, Marloes Ten Voorde, Ruben E van Engen, Cary van Landsveld-Verhoeven, Ruud Pijnappel, Kitty Droogh-de Greve, Gerard J den Heeten, Mireille J M Broeders
PURPOSE: To compare projected breast area, image quality, pain experience and radiation dose between mammography performed with and without radiolucent positioning sheets. METHODS: 184 women screened in the Dutch breast screening programme (May-June 2012) provided written informed consent to have one additional image taken with positioning sheets. 5 cases were excluded (missing data). Pain was scored using the Numeric Rating Scale. Radiation dose was estimated using the Dance model and projected breast area using computer software...
October 2015: European Journal of Radiology
B Marinov, A Andreeva, A Pandurska
Mastodynia is defined as breast tenderness and pain, also called mastalgia. There are several types of cyclic, noncyclic and extramammary. The cyclic mastodynia is the most common one, and represents a clinical symptom of the premenstrual syndrome and of the more severe premenstrual dysphoric disorder. The article outlines different types of mastalgia with their typical clinical features, including the relatively rear Tietze's syndrome and MONDOR'S disease, as well as the PMS and the PMDD. The authors also offer a diagnostic algorithm and specific diagnostic criteria...
2014: Akusherstvo i Ginekologii︠a︡
Engin Ölçücüoğlu, Güliz Yılmaz
OBJECTIVE: Mastalgia is the most frequent symptom seen in patients who undergo breast imaging. There are various medical treatment methods in the literature. However, malignancy should be excluded before starting treatment. This is a prospective study, evaluating the necessity of imaging in patients who have applied for cyclic or non-cyclic breast pain, with normal physical examination, and without a family history. MATERIAL AND METHODS: Two hundred women, younger than 30 years of age, who applied to Iğdır State Hospital general surgery department with complaint of cyclic or non-cyclic breast pain, were prospectively studied...
2013: Ulusal Cerrahi Dergisi
Frank Q Nuttall, Rohit S Warrier, Mary C Gannon
PURPOSE: A large number of medications have been implicated in the genesis of gynecomastia. However, gynecomastia is common in men, asymptomatic, increases with age, and is considered to be due to an increased estradiol/testosterone ratio. This complicates the interpretation of medication-related gynecomastia. Therefore, we have reviewed the literature in order to assess the data relating gynecomastia onset with utilization of specific medications. METHODS: The literature was searched in PubMed and the Ovid/Medline databases from the 1946 to January 2015 with the search terminology of "gynecomastia, drugs/medications...
May 2015: European Journal of Clinical Pharmacology
Agneta Wennman-Larsen, Lena-Marie Petersson, Fredrik Saboonchi, Kristina Alexanderson, Marjan Vaez
PURPOSE/OBJECTIVES: To examine the severity and development of breast and arm symptoms separately during the two years following breast cancer surgery, and to examine whether previously defined predictors of arm symptoms are associated with breast symptoms. DESIGN: Prospective cohort study with two-year follow-up. SETTING: Three institutions in the Stockholm, Sweden, region. SAMPLE: 645 women, aged 20-63 years, enrolled within 12 weeks of surgery for primary breast cancer...
March 2015: Oncology Nursing Forum
Jennifer White, Chris Mills, Nick Ball, Joanna Scurr
The relationship between inappropriate breast support and upper-extremity kinematics for female runners is unclear. The purpose of this study was to investigate the effect of breast support and breast pain on upper-extremity kinematics during running. Eleven female recreational runners with larger breasts (UK D and E cup) completed a 7 min 20 s treadmill run (2.58 m · s(-1)) in a high and low breast support condition. Multi-planar breast and upper-extremity kinematic data were captured in each breast support condition by eight infrared cameras for 30 s towards the end of the run...
2015: Journal of Sports Sciences
Zeina Chakhtoura, Marie Meunier, Jacqueline Caby, Lucile Mercadal, Nadia Arzouk, Benoît Barrou, Philippe Touraine
OBJECTIVE: To describe the gynecologic issues and follow-up in our referral center of women on dialysis and after kidney transplantation. STUDY DESIGN: This retrospective cohort study included 129 dialysed women among whom 102 had had transplants. Data on menstrual pattern, pregnancies, contraception, and cervical cytology were retrieved from patients' files. RESULTS: The follow-up started at age 41.6±14.2 years and lasted for 9.5±10.2 years...
April 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Hubert Wolski
The first hormonal pill was approved in the 60s of the twentieth century Since that time, oral contraception has been used worldwide by dozens of women due to its high availability as well as relative ease and safety of taking. The main side effects of oral contraception include elevated risk for venous thromboembolism (VTE). Estrogens increase the probability of VTE development, depending on the dose in medication, and third-generation progestins increase the risk of VTE development more than older-generation progestins...
December 2014: Ginekologia Polska
Bhupendra Kumar Jain, Amit Bansal, Deepti Choudhary, Pankaj Kumar Garg, Debajyoti Mohanty
INTRODUCTION: Several agents have been tried in the management of mastalgia. Centchroman (Ormeloxifene), a novel non-steroidal selective estrogen receptor modulator (SERM), has also been recently used in the management of mastalgia. METHODS: Eligible patients, who had mastalgia for more than 3 months, were randomized into two groups - Group A received centchroman 30 mg daily and Group B received tamoxifen 10 mg daily. Treatment was continued for a total of 12 weeks; thereafter, patients were followed for another 12 weeks without medication to assess the continuum of relief...
March 2015: International Journal of Surgery
Ioannis Karagiannidis, Christos C Zouboulis
BACKGROUND: Adamantiades-Behçet's disease is an immune-mediated vasculitis with relapsing course. It is characterised by the classic clinical trias of oral aphthous ulcers, genital ulcers and uveitis. HISTORY AND FINDINGS: A 37-year-old woman suffered from systemic Adamantiades-Behçet disease with recurrent uveitis, oral ulcers, genital ulcers, arthralgia, erythema nodosum and folliculitis. COURSE AND TREATMENT: Longterm interferon-α-2a (IFNα-2a) led to reduction of the clinical manifestations except for occasional occurrence of oral ulcers...
January 2015: Deutsche Medizinische Wochenschrift
Christoforos Tsantoulas
No abstract text is available yet for this article.
March 2015: Pain
Dale J Langford, Steven M Paul, Claudia M West, Laura B Dunn, Jon D Levine, Kord M Kober, Marylin J Dodd, Christine Miaskowski, Bradley E Aouizerat
Persistent pain after breast cancer surgery is a common clinical problem. Given the role of potassium channels in modulating neuronal excitability, coupled with recently published genetic associations with preoperative breast pain, we hypothesized that variations in potassium channel genes will be associated with persistent postsurgical breast pain. In this study, associations between 10 potassium channel genes and persistent breast pain were evaluated. Using growth mixture modeling (GMM), 4 distinct latent classes of patients, who were assessed before and monthly for 6 months after breast cancer surgery, were identified previously (ie, No Pain, Mild Pain, Moderate Pain, Severe Pain)...
March 2015: Pain
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