Mastalgia classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Breast pain can be categorized into 2 main clinical patterns, cyclical and non cyclical.

Classification

It can be subdivided into 2 main clinical patterns:

• Cyclical when the pain is worse prior to each menstrual cycle
  • This may occur with a woman's natural menstrual cycles and is not due to any hormone or breast disease.
  • It may be caused by use of hormonal contraception.

• Non-cyclical when the pain is unrelated to periods.
  • It may be related to the underlying muscle.
  • Trauma and resulting hematoma
  • Infection is sometimes responsible, particularly during times of breast feeding.
  • Breast engorgement during breast feeding (mastitis)
  • Arthritis pain in the chest or neck felt as if it is coming from the breast.