{"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":"fibroadenomi-multipli-del-seno-causa-di-dolore-toracico-mensile","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/it\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\/","title":{"rendered":"Fibroadenomi multipli del seno: una causa di dolore toracico mensile"},"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>Immagine clinica<\/h2>\n<p id=\"p-1\">Una donna di 35 anni riferiva di dolore toracico bilaterale continuo che durava diversi anni, aggravato da vibrazioni o tremori e pi\u00f9 intenso durante le mestruazioni. Il dolore limitava le sue attivit\u00e0 quotidiane. L&#039;esame fisico ha rivelato masse simili a rocce frastagliate in entrambi i seni. Le sue storie mediche e familiari erano insignificanti e non ricevette farmaci.<\/p>\n<p id=\"p-2\">L&#039;ecografia ha rivelato pi\u00f9 di 100 tumori di forma ovale ben circoscritti, ciascuno di 5-30 mm. Ogni seno era 200\u00d7200\u00d760 mm. La risonanza magnetica con mezzo di contrasto ha rivelato tumori multipli in tutto il seno durante il miglioramento graduale dinamico e ... <\/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\">Fonte quotidiana medica<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p><sec id=\"s1\"><st>Immagine clinica<\/st> <\/p>\n<p>Una donna di 35 anni riferiva di dolore toracico bilaterale continuo che durava diversi anni, aggravato da vibrazioni o tremori e pi\u00f9 intenso durante le mestruazioni. Il dolore limitava le sue attivit\u00e0 quotidiane. L&#039;esame fisico ha rivelato masse simili a rocce frastagliate in entrambi i seni. Le sue storie mediche e familiari erano insignificanti e non ricevette farmaci.<\/p>\n<p>L&#039;ecografia ha rivelato pi\u00f9 di 100 tumori di forma ovale, ben circoscritti, ciascuno di 5\u201330 mm. Ogni seno era di 200<font face=\"arial,helvetica\">X<\/font>200<font face=\"arial,helvetica\">X<\/font>60 mm. La risonanza magnetica con mezzo di contrasto ha rivelato tumori multipli in tutti i seni con un miglioramento graduale dinamico e nessun washout precoce (<cross-ref type=\"fig\" refid=\"F1\">Figura 1<\/cross-ref>). Le biopsie hanno rivelato fibroadenomi. Pertanto, il suo dolore \u00e8 stato attribuito a questi fibroadenomi multipli.<\/p>\n<p>La gestione conservativa con basse dosi di estrogeni e progesterone (noretisterone ed etinilestradiolo inizialmente, e dienogest successivamente) \u00e8 stata inefficace. Il tamoxifene era stato pianificato per sopprimere gli estrogeni; tuttavia, sulla base del rischio di trascurare la malignit\u00e0, della mancata risposta al trattamento conservativo e del desiderio della paziente, abbiamo eseguito una mastectomia bilaterale con innesto di areola cutanea. L&#039;esame istopatologico ha mostrato\u2026<\/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\/it\/fibroadenomi-multipli-del-seno-causa-di-dolore-toracico-mensile\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\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\/it\/fibroadenomi-multipli-del-seno-causa-di-dolore-toracico-mensile\/\" \/>\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=\"Scritto da\" \/>\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\":\"it-IT\"},{\"@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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