BREAST PAIN ASSESSMENT USING BREAST ULTRASOUND AT KING HUSSEIN MEDICAL CENTER IN JORDAN

Objective: To evaluate patients with mastalgia having local or diffuse breast pain using breast ultrasound. Methods: Our prospective investigation included 100 premenopausal female patients, with the mean age of 33.5 years, complaining of breast pain as the single presenting finding and who were referred to the breast unit of the Radiology Department of King Hussein hospital, King Hussein medical center, during the period January 2015 - December 2015, after obtaining verbal consent from all participants. The breasts w ere examined by systematic ultrasound scan including all the four quadrants of the breast and the retroareolar area. Breast pain severity was graded as mild, moderate and severe. Results: Regarding the ultrasound affected breast results, there were three groups: Group I, normal (45%), Group II, ductasia (21%) and group III, mass with fibrocystic changes (34%). In the 34 patients with mass in the breast, 47.1 %(16) patients had cystic mass and 52.9 %(18) had solid mass. The ultrasound scanning of the mass d emonstrated that 88.2 %(30) of cases were benign and 11.8 %(4) were intermediate. Histopathological reports of the masses found that 47.1 %(16) were fibrocystic , 20.6 %(7) were fibroadenoma, 23.5 %(8) were benign cysts, 2.9 %(1) was malignancy and 5.9 %(2 ) were breast infections. Conclusions: Fibrocystic changes found by ultrasound examination are the most common cause of mastalgia in our Jordanian female patients after the 45% who had normal findings.