Topic: Common Benign Causes of Breast Pain

Forum: Not Diagnosed But Worried — For those who are experiencing symptoms or received concerning test results, but haven't been diagnosed with breast cancer.

Posted on: Aug 12, 2017 06:52AM - edited Aug 12, 2017 07:15AM by djmammo

Posted on: Aug 12, 2017 06:52AM - edited Aug 12, 2017 07:15AM by djmammo

djmammo wrote:

Articles dealing with breast pain in patients that have already had a complete workup and breast cancer has been definitively excluded as a cause of the breast pain.

1) A fairly complete non-medical article on the subject: 7 Annoying Causes of Breast Pain and Soreness

2) From ClinicalAdvisor.Com: Managing Breast Pain

Excerpts from this article:

a) "Breast pain is one of the most common problems for which women consult primary-care providers, gynecologists, and breast specialists. Women often think that breast pain indicates cancer, causing them significant anxiety. In reality, the prevalence of women presenting with mastalgia who actually have breast cancer is 1.2%-6.7%.1 In our breast-specialty practice, an estimated one third of the women referred have breast pain."

b) "Unfortunately, options for evidence-based practice for the management of breast pain is sparse in the literature. To better serve this patient population, we have created a comprehensive algorithm to guide clinicians in the management of breast pain (download Figure 1 PDF). This algorithm is based on research, personal practice, and anecdotal literature."

Diagnostic and Medical Treatment Algorithm for Benign Breast Pain: Download PDF

3) Referred pain to the Breast: Breast and Shoulder Pain

4) In my personal experience the leading cause of benign breast pain is related to underwire bras. The classic symptom is pain on the outside of both breasts but is not limited to that presentation. We routinely recommended the patient discontinue wearing an underwire type bra for 3 weeks and then give us a call. Many have found relief from this little trick. Its free and worth a try.



Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
Log in to post a reply

Page 2 of 3 (25 results)

Log in to post a reply

Aug 18, 2017 06:05AM djmammo wrote:

Elastography is a part of an ultrasound exam. Very different from a mammogram.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
Log in to post a reply

Aug 18, 2017 06:30AM Jeah wrote:

Hi djmammo, i cant message you cause i have limited msg per day..

my gp told me that the swelling in my arm is not a lymph node, but a nerve that swell.. Does it cause pain even in my breast? I just thought that maybe bcoz of my daily routine here that cause the swell nerve.. But i dont know the connection between the nerve and pain and sensitivity of my breast.. I am already stress of thinking about ibc..

What is much better in my situation, elastogram or mri

Log in to post a reply

Aug 18, 2017 06:49AM djmammo wrote:

MRI is the most sensitive exam for breast cancer. You need to follow up on your physical symptoms with your doctors as they may not be associated with your breast.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
Log in to post a reply

Aug 19, 2017 05:39AM traveltext wrote:

DJM. Given the amount of breast tissue in males, would you say an US is as good as a mammogram? I was diagnosed with an US and have them for annual checkups, so I'm assuming this is the case.


NED breast and prostate cancer. Dx 03/14, IBC, Lgth. 2cm, Stge IIIB, Gde 2B, ER+/PR+, HER2- ; FEC x3, Taxol x3; Mx & 2/23 nodes; Rads x 33; now on tamoxofin.
Log in to post a reply

Aug 19, 2017 08:12PM djmammo wrote:

I personally prefer a mammogram for initial diagnosis in males but as long as there are priors for comparison US should be a good follow up for new masses. It won’t however show early calcifications.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
Log in to post a reply

Aug 19, 2017 09:26PM traveltext wrote:

Thanks, I might look into getting a manogram on my remaining breast next time for comparison purposes.

Obviously, the unreconstructed and concave other side can't be scanned that way, so an US is best for it.


NED breast and prostate cancer. Dx 03/14, IBC, Lgth. 2cm, Stge IIIB, Gde 2B, ER+/PR+, HER2- ; FEC x3, Taxol x3; Mx & 2/23 nodes; Rads x 33; now on tamoxofin.
Log in to post a reply

Aug 27, 2017 09:55PM txbluebonnet wrote:

Thanks djmammo, better to read information here than go crazy googling symptoms like I used to do.

Log in to post a reply

Oct 5, 2017 04:20PM Tawney_girl wrote:


Hi Guys!

I'm a 28yr old female with 2 boys ages 13 & 4. I've never really had any breast issues except the usual soreness before my cycles and fullness that it would bring. I've always had lumpy breast and was told numerous times they were fibrocystic. No family hx of breast cancer.

1 week ago yesterday I had a sudden pain in my right breast upper outter quadrant. This is a focal area of pain, very specific and not the usual soreness. I also feel like I have pains throughout my breast some days but again hard to tell if it's just from the focal pain that's now spreading? It's constantly there! If I mess with it to much (I need to stop) it gets worse. I went to my pcp who did a self breast exam and found no lumps but fibrocystic breast again & sent me for an ultrasound at a breast care center by me. I had my apt Tuesday and while they didn't find anything I'm baffled by the pain. The tech scanned me & than they go get the actual breast radiologist who comes in and re scans you. She spent 20 minutes on the affected area of concern & nothing! She went down towards my nipple & found a lipoma. But other than that nothing as to why I'm havingthis pain! It's tender to touch & almost feels like that pinched nerve feeling. Not hot, itchy, burning, sharp pains etc, just constant steady pain. She checked my arm & lymph nodes as well and all is well. Any ideas? I have todo a 6mos follow up for the lipoma but other than that I still don't have any answer for this pain. If you close your arm and you have that crease at the top in between your armpit & breast? Well go down about an inch & it's that whole general area. Help! :(


Log in to post a reply

Dec 4, 2017 05:24PM b-a-p wrote:

I've had breast pain and tenderness for a year. Inner side of breast and lower quadrant , non cyclical. Area is thickened and lumpy. u/S showed lumpy tissue and my previously dxd fibroadenoma.

Specialist told me to live with the pain

Nipple starting to have yellow discharge when deliberately expressed.

Would fibrosis in the breast cause persistent tenderness to touch?? .right breast has literally no lumpiness or pain like the other one.

The discharge is alarming too but no one will help me figure it out. Dr won't order an mri

Dx 8/17/2018, IDC, Left, Stage IV, metastasized to liver, ER+/PR+, HER2- Chemotherapy 9/18/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil) Surgery 2/26/2019 Mastectomy; Mastectomy (Left); Mastectomy (Right) Radiation Therapy 4/29/2019 Whole breast: Breast, Lymph nodes, Chest wall Targeted Therapy 10/1/2021 Ibrance (palbociclib) Dx IDC, Stage IV, metastasized to liver, ER+/PR-, HER2- Chemotherapy Abraxane (albumin-bound or nab-paclitaxel) Hormonal Therapy Femara (letrozole) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Hormonal Therapy 10/1/2022 Faslodex (fulvestrant), Femara (letrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Dec 6, 2017 09:56AM djmammo wrote:

B-A-P

Are there cysts in the area of your pain on ultrasound? They can cause pain. In my experience, in a very large percentage of patients we never found a cause for diffuse pain, especially if its bilateral.

Click here for Nipple Discharge information

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com

Page 2 of 3 (25 results)

Scroll to top button