Clinical Algorithm for the Management of Mastalgia Associated with Mammary Duct Ectasia: A Narrative Review with Institutional Perspective
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Abstract
Mastalgia is one of the most common breast-related complaints encountered in surgical practice. Although breast pain often raises concern regarding malignancy, the association between isolated mastalgia and breast cancer remains low. Mammary duct ectasia represents an important benign cause of non‑cyclical mastalgia characterized by dilatation of the major lactiferous ducts and periductal inflammation. Because its clinical manifestations may mimic periductal mastitis or it may mimic early carcinoma associated with duct papilloma,patients frequently undergo repeated imaging and unnecessary treatment. This review summarizes current evidence regarding epidemiology, pathophysiology, clinical presentation, diagnostic evaluation, and management of duct ectasia–related mastalgia and proposes a structured clinical management algorithm suitable for routine surgical practice.
Keywords
MastalgiaMammary duct ectasiaNon-cyclical breast painNipple dischargePeriductal mastitisBreast imagingUltrasonographyMammographyConservative managementSurgical algorithmHow to Cite
Manhas, H., Rahi, R., & Sinha, A. (2026). Clinical Algorithm for the Management of Mastalgia Associated with Mammary Duct Ectasia: A Narrative Review with Institutional Perspective. International Journal of Medical and All Body Health Research, 7(2), 206-209. https://doi.org/10.54660/IJMBHR.2026.7.2.206-209
Manhas, Himani, et al. "Clinical Algorithm for the Management of Mastalgia Associated with Mammary Duct Ectasia: A Narrative Review with Institutional Perspective." International Journal of Medical and All Body Health Research, vol. 7, no. 2, 2026, pp. 206-209. https://doi.org/10.54660/IJMBHR.2026.7.2.206-209.
Manhas, H., Rahi, R. and Sinha, A. (2026) 'Clinical Algorithm for the Management of Mastalgia Associated with Mammary Duct Ectasia: A Narrative Review with Institutional Perspective', International Journal of Medical and All Body Health Research, 7(2), pp. 206-209. doi: 10.54660/IJMBHR.2026.7.2.206-209.
Manhas H, Rahi R, Sinha A. Clinical Algorithm for the Management of Mastalgia Associated with Mammary Duct Ectasia: A Narrative Review with Institutional Perspective. International Journal of Medical and All Body Health Research. 2026;7(2):206-209. doi:10.54660/IJMBHR.2026.7.2.206-209
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