{"id":7487,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"de-multiples-fibroadenomes-des-seins-sont-a-lorigine-de-douleurs-thoraciques-mensuelles","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/fr\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\/","title":{"rendered":"Ad\u00e9nofibromes multiples des seins : une cause de douleurs thoraciques mensuelles"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<div class=\"section\" id=\"sec-1\" readability=\"18\">\n<h2 class>Image clinique<\/h2>\n<p id=\"p-1\">Une femme de 35 ans a signal\u00e9 des douleurs thoraciques bilat\u00e9rales continues durant plusieurs ann\u00e9es, aggrav\u00e9es par des vibrations ou des tremblements et plus intenses pendant les menstruations. La douleur limitait ses activit\u00e9s quotidiennes. L&#039;examen physique a r\u00e9v\u00e9l\u00e9 des masses ressemblant \u00e0 des roches rugueuses dans les deux seins. Ses ant\u00e9c\u00e9dents m\u00e9dicaux et familiaux \u00e9taient sans particularit\u00e9 et elle n&#039;a re\u00e7u aucun m\u00e9dicament.<\/p>\n<p id=\"p-2\">L&#039;\u00e9chographie a r\u00e9v\u00e9l\u00e9 plus de 100 tumeurs de forme ovale, bien circonscrites, chacune de 5 \u00e0 30 mm. Chaque sein mesurait 200 \u00d7 200 \u00d7 60 mm. L&#039;IRM avec contraste a r\u00e9v\u00e9l\u00e9 de multiples tumeurs dans les seins lors d&#039;un rehaussement progressif dynamique et\u2026 <\/p>\n<\/div>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e28?rss=1\">Source quotidienne m\u00e9dicale<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p><sec id=\"s1\"><st>Image clinique<\/st> <\/p>\n<p>Une femme de 35 ans a signal\u00e9 des douleurs thoraciques bilat\u00e9rales continues durant plusieurs ann\u00e9es, aggrav\u00e9es par des vibrations ou des tremblements et plus intenses pendant les menstruations. La douleur limitait ses activit\u00e9s quotidiennes. L&#039;examen physique a r\u00e9v\u00e9l\u00e9 des masses ressemblant \u00e0 des roches rugueuses dans les deux seins. Ses ant\u00e9c\u00e9dents m\u00e9dicaux et familiaux \u00e9taient sans particularit\u00e9 et elle n&#039;a re\u00e7u aucun m\u00e9dicament.<\/p>\n<p>Ultrasonography revealed more than 100 oval-shaped, well-circumscribed tumours, each 5&ndash;30 mm. Each breast was 200<font face=\"arial,helvetica\">x<\/font>200<font face=\"arial,helvetica\">x<\/font>60 mm. Contrast-enhanced MRI revealed multiple tumours throughout the breasts on dynamic gradual enhancement and no early washout (<cross-ref type=\"fig\" refid=\"F1\">Figure 1<\/cross-ref>). Biopsies revealed fibroadenomas. Therefore, her pain was attributed to these multiple fibroadenomas.<\/p>\n<p>Conservative management with low-dose oestrogen and progesterone (norethisterone and ethinylestradiol initially, and dienogest subsequently) was ineffective. Tamoxifen was planned to suppress oestrogen; however, based on the risk of overlooking malignancy, the nonresponse to conservative treatment, and the patient&#8217;s desire, we performed bilateral mastectomy with skin areola grafting. Histopathological examination showed&#8230;<\/p>","protected":false},"author":2,"featured_media":7488,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multiple fibroadenomas of the breasts: a cause of monthly chest pain - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/fr\/de-multiples-fibroadenomes-des-seins-sont-a-lorigine-de-douleurs-thoraciques-mensuelles\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multiple fibroadenomas of the breasts: a cause of monthly chest pain - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"Clinical image A 35-year-old woman reported of continuous bilateral chest pain lasting several years, aggravated by vibration or shaking and most intense during menstruation. The pain limited her daily activities. Physical examination revealed masses resembling rugged rocks in both breasts. Her medical and family histories were unremarkable, and she received no medication. Ultrasonography revealed more than 100 oval-shaped, well-circumscribed tumours, each 5&ndash;30 mm. Each breast was 200x200x60 mm. Contrast-enhanced MRI revealed multiple tumours throughout the breasts on dynamic gradual enhancement and no early washout (figure 1). Biopsies revealed fibroadenomas. Therefore, her pain was attributed to these multiple fibroadenomas. Conservative management with low-dose oestrogen and progesterone (norethisterone and ethinylestradiol initially, and dienogest subsequently) was ineffective. Tamoxifen was planned to suppress oestrogen; however, based on the risk of overlooking malignancy, the nonresponse to conservative treatment, and the patient&#039;s desire, we performed bilateral mastectomy with skin areola grafting. Histopathological examination showed...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/fr\/de-multiples-fibroadenomes-des-seins-sont-a-lorigine-de-douleurs-thoraciques-mensuelles\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Multiple fibroadenomas of the breasts: a cause of monthly chest pain\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\\\/\"},\"wordCount\":92,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\\\/\",\"name\":\"Multiple fibroadenomas of the breasts: a cause of monthly chest pain - 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