Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
Vol. 66, No. 2, 2004, pp. 89-92
Bioline Code: is04021
Full paper language: English
Document type: Research Article
Document available free of charge
Indian Journal of Surgery, Vol. 66, No. 2, 2004, pp. 89-92
© Copyright 2004 Indian Journal of Surgery.
Refractory mastalgia or inadequately treated mastalgia?|
Though mastalgia is a common problem standard algorithms of management are not always followed by clinicians. Inadequately treated mastalgia arises as a consequence. This is labelled as refractory mastalgia and referred to breast clinics for further treatment.
To determine whether instances of mastalgia labelled as refractory were truly refractory to treatment or whether they were merely instances of inadequate treatment, by observing their response to non-pharmacological treatment.
Settings and Design:
A prospective observational study was undertaken in an outpatient breast clinic setting.
Material and Methods:
Fifty-eight patients with "refractory" mastalgia were evaluated. Treatment was by reassurance, low-fat, methyl xanthine restricted diet and dietary supplementation with 500 mg/day of evening primrose oil. Response to treatment was assessed at three and six months.
Statistical analysis used: Frequency, cross tabulations and 95% CI were determined by a professional statistical software package (SPSS).
There was a 94.3% overall response to non-pharmacological treatment, which indicated that they were all instances of inadequately treated mastalgia and not refractory mastalgia.
Instances of mastalgia are being labelled as refractory without acknowledging inadequacy of treatment.
Refractory mastalgia, Inadequately treated mastalgia, Standard algorithms of Mastalgia management