Treatment of fibromyalgia among patients with mastalgia and fibromyalgia improved mastalgia

• Published in: Aǧrı 2024-04, Vol.36 (2), p.113-119
• Main Authors: Yilmaz, Tonguc Utku, Inanir, Murat, Cinar, Saffet, Guler, Sertac Ata, Utkan, Nihat Zafer
• Format: Article
• Language: English
• Subjects: Cancer patients; Care and treatment; Clinics; College applications; Complications and side effects; Drug therapy; Fibromyalgia; Health aspects; Mastalgia; Pain; Quality of life; Risk factors; Surveys
• ISSN: 1300-0012
• DOI: 10.14744/agri.2022.58219

Objectives: The aim of this study is to examine the effect of fibromyalgia (FM) treatment on mastalgia by performing fibromyalgia screening in patients who applied for mastalgia and whose underlying cause could not be found. Methods: Patients who applied to Kocaeli University General Surgery Outpatient Clinic between November 2017 and November 2020 with breast pain were included (n=120). Patients without cancer, systemic disease, previous breast surgery, and breast mass larger than 3 cm (n=30) were referred to the Physical Therapy and Rehabilitation Outpatient Clinic. A total of 13 patients (43%) were diagnosed with FMS. Twelve of them were given selective serotonin-noradrenaline reuptake inhibitor (duloxetine) treatment for 3 months. Turkish version of the Short Form-36 (SF-36) quality of life scores, Visual Analog Scale (VAS), Cardiff breast pain score before and after treatment were compared. The remaining 17 patients were followed as only mastalgia. Results: Patients with fibromyalgia and mastalgia had similar demographic results. At the end of the 3rd month, the complaints of breast pain completely regressed in all of the patients. Statistically significant changes were detected in VAS score, the number of trigger points, and SF-36 quality of life scores, Cardiff breast pain score after duloxetine treatment. Conclusion: In the presence of unexplained mastalgia, fibromyalgia should be kept in mind. Duloxetine treatment improved the breast pain and quality of life in patients with mastalgia and fibromyalgia. Keywords: Breast Pain Score; duloxetine; fibromyalgia; mastalgia. Amac: Bu calijmanin amaci, altta yatan herhangi bir sebep bulunamayan mastalji hastalarinda fibromiyalji taramasinin yapilmasinin onemi ve fibromiyalji tedavisinin mastalji uzerine etkisinin aractirilmasi. Gerec ve Yontem: Bu calijma, Kasim 2017 ile Kasim 2020 tarihleri arasinda Kocaeli Universitesi Genel Cerrahi Anabilim Dali Poliklinigine meme agrisi ile bajvuran (n=120) hastalar uzerinde yapilmictir. Bilinen kanser, sistemik romatolojik hastalik, gecirilmic meme ameliyati ve memesinde 3 cm'den buyuk kitle olan hastalar calijma dici birakilmictir. Calijmaya dahil edilen (n=30) hasta Fizik Tedavi ve Rehabilitasyon bolumune yonlendlrilmictir. Toplam 13 hasta fibromiyalji tanisi almictir. On iki hasta 3 aylik selektif serotonin noradrenalin reuptake inhibitoru (Duloksetin) tedavisi almictir. Hastalarin tedavi oncesi ve sonrasi hayat kaliteleri, Cardiff meme agri skorlari, VAS skorlari