Боль в молочной железе: дифференцированный подход к ведению пациенток

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Боль и нагрубание молочных желез (мастодиния) встречаются у 50% женщин репродуктивного возраста и 5% пациенток в пери- и постменопаузе. Боли могут носить циклический или нециклический характер. Циклические боли связаны с гормональными изменениями, обычно двусторонние, наиболее выражены в верхнем наружном квадранте груди. Нециклические боли чаще бывают односторонними. Причиной их возникновения могут быть протоковая эктазия, мастит, воспалительный рак молочной железы, гнойный гидраденит, экстрамаммарные причины. Методами диагностики причин мастодинии являются физикальное обследование, ультразвуковое исследование и маммография. Терапия включает коррекцию образа жизни, гормональные и негормональные средства.

Об авторах

С. А Леваков

ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России

д-р мед. наук, проф., зав. каф. акушерства и гинекологии ИПО ГБОУ ВПО Первый МГМУ им. И.М.Сеченова 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2

Е. И Боровкова

ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России

Email: katyanikitina@mail.ru
д-р мед. наук, проф. каф. акушерства и гинекологии ИПО ГБОУ ВПО Первый МГМУ им. И.М.Сеченова 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2

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