Pain in the breast is a common symptom in general surgical practice. Most cases are benign and due to cyclical mastalgia, but occasionally pain may be the presenting symptom of carcinoma.

Causes

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    Cyclical mastalgia (fibroadenosis, cystic mastitis)

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    Noncyclical mastalgia

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    Duct ectasia

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    Breast abscess ( Fig. 8 )

    Figure 8, A large abscess of the left breast .

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    Pregnancy

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    Lactation

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    Carcinoma (15% of lumps are painful)

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    Fat necrosis

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    Mastitis

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    Tietze’s disease

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    Mondor’s disease

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    Rib secondaries

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    Herpes zoster

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