Case:. Two ladies aged 20 and 48 years, respectively, consulted because of bilateral breast tenderness . Breast tenderness. Pain ( mastalgia or mastodynia ) is the most common clinical presentation of breast disease More common in premenopausal women Rarely a symptom of Cancer
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History and PE normal
Patient age < 35 years
Patient age > = 35 years
Reference: Schwartz’s Manual of Surgery 8th Edition
1. Caffeine free diet
2. Smoking cessation