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. 1982 May 1;284(6325):1299-300.
doi: 10.1136/bmj.284.6325.1299.

Importance of mastalgia in operable breast cancer

P E Preece, M Baum, R E Mansel, D J Webster, R W Fortt, I H Gravelle, L E Hughes

Importance of mastalgia in operable breast cancer

P E Preece et al. Br Med J (Clin Res Ed). .

Abstract

The importance of pain as a presenting symptom of breast cancer has been assessed in a series of 240 patients with operable breast cancer over four years. From an analysis of the case histories of 36 patients the diagnosis proved difficult in one-quarter of the cancers. This is explained by the high incidence of subclinical and lobular carcinoma in the group. Cancer must be seriously considered as a diagnosis in patients presenting with well-localised breast pain of recent onset. These patients should be followed for at least one year after the onset of the pain before cancer is confidently excluded.

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