{"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":"fibroadenomas-nyingi-za-matiti-sababu-ya-maumivu-ya-kila-mwezi-ya-kifua","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/multiple-fibroadenomas-of-the-breasts-a-cause-of-monthly-chest-pain\/","title":{"rendered":"Fibroadenomas nyingi za matiti: sababu ya maumivu ya kila mwezi ya kifua"},"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>Picha ya kliniki<\/h2>\n<p id=\"p-1\">Mwanamke mwenye umri wa miaka 35 aliripoti maumivu ya kifua ya pande zote mbili yanayoendelea kudumu kwa miaka kadhaa, yakichochewa na mtetemo au kutetemeka na makali zaidi wakati wa hedhi. Maumivu hayo yalipunguza shughuli zake za kila siku. Uchunguzi wa kimwili ulifunua wingi unaofanana na mawe machafu katika matiti yote mawili. Historia yake ya matibabu na familia haikuwa ya kushangaza, na hakupokea dawa.<\/p>\n<p id=\"p-2\">Uchunguzi wa Ultrasonografia ulifunua uvimbe zaidi ya 100 wenye umbo la mviringo, wenye kuzunguka vizuri, kila mm 5-30. Kila matiti ilikuwa 200\u00d7200\u00d760 mm. MRI iliyoimarishwa kitofauti ilifichua uvimbe mwingi kwenye matiti kwenye uboreshaji wa taratibu na ... <\/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\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p><sec id=\"s1\"><st>Picha ya kliniki<\/st> <\/p>\n<p>Mwanamke mwenye umri wa miaka 35 aliripoti maumivu ya kifua ya pande zote mbili yanayoendelea kudumu kwa miaka kadhaa, yakichochewa na mtetemo au kutetemeka na makali zaidi wakati wa hedhi. Maumivu hayo yalipunguza shughuli zake za kila siku. Uchunguzi wa kimwili ulifunua wingi unaofanana na mawe machafu katika matiti yote mawili. Historia yake ya matibabu na familia haikuwa ya kushangaza, na hakupokea dawa.<\/p>\n<p>Uchunguzi wa Ultrasonografia ulifunua uvimbe zaidi ya 100 wenye umbo la mviringo, wenye kuzunguka vizuri, kila mm 5-30. Kila matiti yalikuwa 200<font face=\"arial,helvetica\">x<\/font>200<font face=\"arial,helvetica\">x<\/font>60 mm. MRI iliyoboreshwa ilifunua uvimbe mwingi kwenye matiti kwenye uboreshaji wa taratibu na hakuna kuosha mapema (<cross-ref type=\"fig\" refid=\"F1\">takwimu 1<\/cross-ref>) Biopsy ilifunua fibroadenomas. Kwa hiyo, maumivu yake yalihusishwa na fibroadenomas hizi nyingi.<\/p>\n<p>Usimamizi wa kihafidhina wenye kiwango cha chini cha estrojeni na projesteroni (norethisterone na ethinylestradiol hapo awali, na dienogest baadaye) haukufaulu. Tamoxifen ilipangwa kukandamiza estrojeni; hata hivyo, kwa kuzingatia hatari ya kupuuza ugonjwa mbaya, kutoitikia matibabu ya kihafidhina, na hamu ya mgonjwa, tulifanya upasuaji wa upasuaji wa pande mbili kwa kuunganisha areola ya ngozi. Uchunguzi wa kihistoria ulionyesha ...<\/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\/sw\/fibroadenomas-nyingi-za-matiti-sababu-ya-maumivu-ya-kila-mwezi-ya-kifua\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\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. 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