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MANAGEMENT OF CYCLICAL MASTALGIA IN ORIENTAL WOMEN: PIONEER EXPERIENCE OF USING GAMOLENIC ACID (EFAMAST ® ) IN ASIA
Author(s) -
Cheung K. L.
Publication year - 1999
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1046/j.1440-1622.1999.01609.x
Subject(s) - medicine , breast pain , referral , gynecology , postmenopausal women , family medicine , breast cancer , cancer
Background : In most Western countries gamolenic acid is the first‐line treatment for women with cyclical mastalgia. Methods : A prospective study was carried out in the breast referral clinic of the Department of Surgery, University of Hong Kong to evaluate the treatment of cyclical mastalgia using gamolenic acid provided in evening primrose oil (Efamast ® , Scotia Pharmaceuticals Ltd, Scotia House, Stirling, Scotland) as a pioneer experience in Asia. In addition, the features of cyclical mastalgia in Oriental women were studied by conducting a survey using anonymous questionnaires. Results : Sixty‐six women with disturbing cyclical mastalgia seen by one breast surgeon were followed up with a breast pain diary. Thirty‐four women had persistently disturbing mastalgia and were commenced on Efamast ® . Responses were measured at 3 and 6 months according to a standardized protocol. An overall useful response rate of 97% was observed at 6 months. Side‐effects were found in 12% but all were insignificant. Conclusions : Efamast ® may be recommended as a first‐line specific treatment for Oriental women with disturbing cyclical mastalgia.