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Breast Cancer Research and Treatment 75: 147157, 2002. 2002 Kluwer Academic Publishers. Printed in the Netherlands.
 

Summary: Breast Cancer Research and Treatment 75: 147157, 2002.
2002 Kluwer Academic Publishers. Printed in the Netherlands.
Report
The characteristics of cyclical and non-cyclical mastalgia: a prospective
study using a modified McGill Pain Questionnaire
Seema A. Khan1 and A. Vania Apkarian1,2,3
1Departments of Surgery, 2Physiology, and 3Anesthesia, Northwestern University, Chicago, IL, USA
Key words: breast pain, cyclical, mastalgia, McGill Pain Questionnaire, non-cyclical
Summary
Breast pain (mastalgia) is a common condition (usually classified as cyclical or non-cyclical) the characteristics of
which have never been studied using a standardized pain instrument. We have modified the short form of the McGill
Pain Questionnaire (SF-MPQ) for the measurement of mastalgia, and have administered it to 271 women with
breast pain and without breast cancer. The mean pain-rating index (sum of 15 descriptors of SF-MPQ) was similar
between cyclical and non-cyclical pain, and was 12.0 (of 45) for the entire group. When compared to similar studies
of pain at other sites, this falls in the same range as chronic cancer pain, and just below the pain of rheumatoid
arthritis. Mean %VAS (visual analog scale) was 45.12 and mean %PPI (present pain index) was 39.9. Most women
described their pain as `heavy, aching and tender,' and these descriptors were given significantly higher ratings by
women with cyclical pain. In women with non-cyclical mastalgia, the overall pain severity was related to the size of
the painful area, and the steadiness of the pain, and the affective components were more prominent than in women
with cyclical mastalgia. Thus, cyclical and non-cyclical mastalgia show some differences in their characteristics

  

Source: Apkarian, A. Vania - Department of Physiology, Northwestern University

 

Collections: Biology and Medicine