Persistent Somatoform Pain Disorder 2 in Case | Breast Pain Blog

Somatoform Disorder

A technical executive with 52 years of making an application for disability retirement because of chronic pain. Freiburger list and the short version of Giessen Complaint arc he reached a high degree of severity of pain in almost all areas covered. Various specialists can find the cause of his discomfort organic require somatoform pain disorder is assumed. He is always sick, why he has so often in the past two years on sick leave, he immediately had to take into account termination and subsequent unemployment if he can not get a pension. He suffered for at least three years, primarily from back pain, neck pain, joint pain and abdominal pain. In addition to pain killers antidepressants him from her neurologist. He was really depressed for a long time because he wished that he had would belong to the next worker because of his age who wants to reduce his company. Although he had previously been very tense, which he visited masseuse confirmed, but for several years it was very bad. Of history proved that the wife had been diagnosed with breast cancer four years ago and had relapsed six months ago. These can be symptoms of somatoform pain also strengthened as demotivation in the workplace, where he had lost a previous job with the company's restructuring. A decline in cognitive performance and Mnemic where patients have complained to the neurological examination done before, is the psychological examination is not visible, but sensorimotor retardation and poor sustained attention capacity.

A woman 35 years complained for three years on chronic pelvic pain. You have visited a total of five gynecologists in the course of time, but no one could help her. They continue to draw a pain in the abdomen and lower waist without organic cause, which has once again, sometimes less obvious. In addition, they suffer in varying degrees from headaches, back pain, circulatory problems, loss of libido and pain during sexual intercourse. A female doctor who persuaded him to psychotherapy, although he could not imagine what it would be changed by it. It turns out her husband for several years now have alcohol addiction treatment without insight. He wanted to sleep more often drunk with it. He could not escape him, because when they have tried this once, he had beaten her. They endure all just because kids. You can also financial reasons, but also separate.

Enlarged Lymph Nodes: Lymphadenopathy, Lymphoma

A slightly enlarged lymph nodes (lymphadenopathy) in breast tissue can often benign and should not necessarily be touched. It is appropriate then - up to a certain size - a relatively typical findings in mammography. Palpable enlarged lymph nodes, for example, in the armpits, in May for the results of such an infection by the arm or hand. They also can occur in breast infection (see above and chapter "mastitis") or breast cancer. The majority of swollen lymph nodes is not dangerous.

If you have other symptoms such as fever, night sweats or weight loss unintentional accompany swollen lymph nodes, come certain infectious diseases, sometimes called a rare autoimmune disorder, malignant disease lymph nodes into consideration.

Malignant disease lymph nodes including a large number of diseases of the lymphatic system, which are collectively known as lymphoma or malignant lymphoma.

Diagnosis by striking the chest lymph nodes results in a clear imaging (mammography, ultrasound) of biopsy if other symptoms are not advised of the initial diagnostic steps other. This therapy is based on a definitive diagnosis. Is a radiologist ensure that Mammografieaufnahme shows lymph nodes of non-single suspicious, no further action in addition to the usual checks on the gynecologist is required. He will then decide on what level should, for example, occurs more mammograms.

Breast sarcoma

A sarcoma is a form more aggressive tumors. Sarcomas can grow quickly and are likely to return. You start from the connective tissue and histological very varied. There are some cases also links to malicious Vaianten Phyllodes tumor (see "other tumors"). After proper diagnosis of the biopsy and further research is certain, these tumors can be removed completely and with a greater margin of healthy tissue. Sometimes it is important to remove the breast. Further treatment should be determined if possible in interdisciplinary medical conference in certified breast center (for more information, see the chapter "Overview", under literature).

Milchgangspapillome

Fibroadenom

The Milchgangspapillom (intraductal papilloma) is, like cauliflower benign growth on the skin inside the milk ducts. It is mostly located in large dairy export corridor near the nipple, but also occurs in smaller ducts. Milchgangspapillome may occur singly or in groups. You prevalent in menopause and can be connected to a bloody discharge from the nipple.

Diagnosis

Characteristics of the disease is the leakage of fluid from the affected breast nipple. For the diagnosis of fluid was removed under a microscope, the blood and the cells degenerated investigated. In addition, most of mammography, ultrasound, and / or reflection of ductal conducted to determine the extent and location of the tumor. From these results, it is determined whether surgery is needed.

If the intraductal papilloma increasingly occur and the cell has a certain degree of change, then the risk of ductal Carzinoma or ductal carcinoma in situ breast increases. Therefore, should occur at regular intervals, the medical examination of the chest.

Fibroadenomas | Breast Pain Blog

Fibroadenoma

Fibroadenoma is the most common benign tumor (tumor) in the chest. They are caused by the proliferation of connective tissue and glandular tissue. Depending on the proportion of this growth on different networks there are two other forms. In what is called an adenoma, especially the proliferation of glandular tissue present in the connective tissue predominantly influenced fibroma. Fibroadenoma, adenoma and fibroids are associated with an increased risk of breast cancer.

The fibroadenoma as a firm, smooth and finite sliding knot feels, sometimes it can be a bit bumpy. Node can reach a diameter of 5 mm to 5 cm. Fibroadenoma generally harmless, they usually do not have to be removed.

A Fibroademon caused only in rare cases complaints. In the face of a period can occur in the context of premenstrual tension syndrome, pain in each breast.

Diagnosis

The diagnosis of benign tumors that are made on the basis of a medical palpation and mammography (X-ray) and ultrasonography (USG). In assessing fibroadenoma it is important that the malignant tumors (breast cancer) are excluded, which is sometimes difficult. Therefore, for the sake of security usually a tissue sample (biopsy) is done, especially if the node develops.

Treatment

Fibroadenomas should be monitored regularly for monthly, through their own scanning of the chest, on the other - depending on the recommendation of the attending physician - by ultrasound examination at intervals of three months or more.

Some of the benign growth likely to continue to grow and then can replace the surrounding tissue. Especially in younger women - especially in the context of pregnancy - fibroadenomas grow rapidly, while they stagnate in women after menopause sooner. Depending on the size, location and rate of growth of fibroadenomas nodes may also be removed. This is usually done with a smaller intervention (punch biopsy under vacuum), with local anesthesia.

By removing other small fibroadenoma fibroadenoma that can be stimulated to grow, so the routine inspection should be done.

The special shape - Phyllodes tumor

A special form of fibroadenoma is rare, called phyllodes tumor. It should consist of a fibroadenoma of connective tissue and glandular tissue, connective tissue dominant proportion. Phyllodes tumors mostly benign, but there are also dangerous and "limit" the kind that has the potential to metastasize.

For safety's sake phyllodes tumor surgery with stitches healthy side. In malignant tumors sometimes complete removal of the breast (mastectomy) is required. Malignant form poorly to endocrine therapy and chemotherapy success rate - and radiotherapy are also low.