Objectives: To report a case of indication of bilateral mastectomy in a psychiatric patient with breast pain/mastalgia due to a foreign body. Metodology: Case report obtained at HC-UFG. The data were collected from medical records and the findings.
BREAST PAIN/MASTALGIA DUE TO A FOREIGN BODY IN A PSYCHIATRIC PATIENT – CASE
REPORT
Lucas N. da Silva, Luis F. P. Oliveira, Matheus L. T. Costa, Taynara Mercadante
Federal University of Goiás
Objectives: To report a case of indication of bilateral mastectomy in a psychiatric patient with breast
pain/mastalgia due to a foreign body. Metodology: Case report obtained at HC-UFG. The data were
collected from medical records and the findings. Results : In 02/12/17, during an opportunistic screening
campaign for breast cancer, executed by the Mastology Program from Advanced Center for Breast
Diagnosis and Academic League of Breast, conjoined with the Municipal Health Secretary from Rubiataba,
the patient M.V.S., female, 43 years, birthplace Rubiataba, was examined and referred to the HC-UFG
Mastology Department to evaluate the indication of total adenomastectomy. The patient refer that 3 years
ago, after her husband death, she developed a severe depressive disorder, which is currently in remission
due the treatment. The patient, M.V.S, reports that 3 months later she suffered from sexual abuse that
evolved to a bilateral breast pain/mastalgia. During the screening campaign the mammography performed
on 29/11/17 was analyzed and evidenced 22 needles in the right breast and 24 in the left one. The patient
says that the needles were inserted by the abuser, however the family claims that the patient inserted by
herself. In 18/12/17 The Mastology Department requested a psychiatric evaluation, which of was
diagnosed with slight intellectual disability , limit intelligence, depression in remission, and humor disorder,
without psychiatric contraindication to the chirurgic procedure. Then, the Mastology Department discussed
the therapeutic proposal of bilateral adenomastectomy for the excision of the injured tissue and foreign
body and the possibility of reconstruction with saline or silicone prostheses. The patient is following up
with Tamoxifen 10mg for relieve of breast pain/mastalgia and the service still analyzing the viability of the
reconstruction with the breast prosthesis, considering new insertions of foreign body can generate even
more damages.