Desconforto e dor durante realização da mamografia

Resumo

I NTRODUCTION . Mammography is the most important method for early detection of breast cancer, however, patients frequently complain of discomfort and pain. O BJECTIVE . Evaluate how often discomfort and pain are felt during mammography and identify factors that may be associated to these complaints. M ETHODS . A prospective study including 2,164 patients recruited from public (996) and private (1,168) health services was carried out. After the imaging procedure, patients quantified pain using a linear analogical scale. Discomfort was qualitatively evaluated by multivariate analysis. R ESULTS . Discomfort was reported by 90% of the patients, and of these 12% rated the sensation as intense or intolerable. Only 2% of the women in the study group did not feel any pain during the procedure. Factors associated to pain were: age, use of birth control methods (BCM), previous mastalgia and patients from the private health sector. Discomfort was independently associated to the service where the procedure was performed (OR = 2.50 IC 1.64-5.17) and to previous mastalgia (OR = 3.15 IC 1.96-7.12). When asked about a repeat mammography, 98% of the patients said they would comply. C ONCLUSION . Young women (< 50 years), BCM users, mastalgia patients and women who were using the services of a private clinic felt more intense pain and discomfort during mammography.

Descrição

Palavras-chave

Mama, Mamografia, Câncer, Rastreamento, Dor, Desconforto, Breast, Discomfort, Mammography, Cancer, Screening, Pain

Citação

FREITAS JÚNIOR, Ruffo et al. Desconforto e dor durante realização da mamografia. Revista da Associação Médica Brasileira, São Paulo, v. 52, n. 5, p. 333-336, 2006.