Breast pain is a commonly experienced symptom in women of all ages and can significantly impact quality of life. Fear of cancer prompts many patients to report their pain, although risk for malignancy is low in the absence of a palpable mass or other abnormal finding on breast examination. All patients with breast pain should have a thorough history and physical examination to determine if diagnostic imaging is indicated. Management of breast pain without anatomic or radiographic abnormalities depends on pain type and severity. Often, no intervention is required. However, for women with pain that adversely impacts daily living, short-term therapies may be considered. For mild to moderate pain, a trial of conservative, nonpharmacologic strategies should be tried first. For those with severe symptoms impacting quality of life, a trial of pharmacologic therapy can be considered after appropriate counseling for medication-related adverse effects. Herein, we have provided a concise summary of a generalized approach to classification, assessment, and management of breast pain.

乳房疼痛是所有年龄段女性的常见症状，可显着影响生活质量。对癌症的恐惧促使许多患者报告疼痛，尽管在没有乳房肿块或其他乳房检查异常发现的情况下，恶性肿瘤的风险较低。所有患有乳房疼痛的患者都应有完整的病史和体格检查，以确定是否需要诊断性影像学检查。没有解剖或放射学异常的乳房疼痛的治疗取决于疼痛的类型和严重程度。通常，不需要干预。但是，对于疼痛对日常生活有不利影响的女性，可以考虑短期治疗。对于轻度至中度疼痛，应首先尝试采用保守的非药物疗法。对于那些症状严重影响生活质量的人，在适当咨询与药物相关的不良影响后，可以考虑进行药物治疗试验。本文中，我们提供了对乳房疼痛进行分类，评估和管理的通用方法的简要概述。