ABSTRACT
Cyclic mastalgia is defined as a breast pain that has a relationship to the menstrual cycle. As far as research studies are concerned the main etiological factors for cyclical mastalgia include dietary factors and hormonal imbalance. In this study, the clinicopathological aspect of cyclical mastalgia is studied with special reference to serum oestrogen and breast volume. This study provides valuable data on cyclical mastalgia with special reference to serum oestrogen level and breast volume.METHODSA total of 101 patients meeting inclusion criteria were selected for this prospective comparative observational study. Sample was selected from OPD patients from Surgery Department, Medical College Kolkata. A detailed history of the patients who was taken with special reference to the dietary habits and lifestyle. A thorough physical examination including breast size and volume were taken (by visual assessment method, size of the undergarments the patient wear and then breast circumference measurement) and the findings were noted. Patients underwent Tru-Cut biopsy for histopathological study and Oestrogen Receptor Status. All data was captured in a predesigned Case Data Sheet and analysis of all the data was done from the CDS using master chart or grand chart.RESULTS58.3% patients with cyclical mastalgia have h/o fatty diet. Patients with increased breast volumes had increased levels of serum oestradiol which signifies that mastalgia with medium and large size breast would respond to antioestrogens better than those patients with small sized breast volume. Majority of the patients with cyclical mastalgia in our study had medium breast volumes as per Bra-size, where the range of 32-36 has the highest frequency (42.8%). The mean measurement of bra size is 33.7 and the standard deviation is 3.737. In our study, we find positive correlation with breast volume and serum oestrogen level (Pearson correlation of breast volume as 1 and serum oestrogen level as 0.381 respectively) and negative correlation with breast volume and serum progesterone level (Pearson correlation of breast volume as 1 and serum progesterone level as -0.134 respectively).CONCLUSIONSThis study shows a significant positive correlation between breast volume, fatty diet and oestrogen level with cyclical mastalgia.