An observational study to evaluate the clinical and pathological profile of benign breast conditions
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 7, Pages 4861-4866
AbstractBackground: Benign breast conditions are associated with morbidity and great concern for the patient and are 4-5 times more common than breast cancer. Benign breast diseases are the most common cause of breast problems in females and it is more frequent than malignant ones up to 30% of women will suffer from a benign breast disease requiring one or other sort of treatment at some part of their lives.
Aim: Aim of this study was to evaluate the clinicopathological profile of benign breast diseases in women.
Methods: A Prospective study was conducted in the Department of General Surgery, Patna Medical College and Hospital,Patna, Bihar, India for one year. Patients presented with different breast related problems like lump in breast, nipple discharge, associated fever and mastalgia were admitted in surgical ward for evaluation.
Results: In the present study,100 cases were examined and analysed. Fibroadenoma formed the most common benign breast disease accounting for 40 cases (40%), followed by fibroadenosis in 23 cases (23%). Benign breast disease was commonly seen in the age group of 20-30years constituting 45% of all patients followed by 28% cases in age group of 30-40years. Among all the benign breast diseases, left sided breast involvement was more common 48 (48%) cases while right breast involvement was less common constituting 41 (41 %) patients. Bilateral involvement was seen in only 11(11%) patients. Considering the pattern of benign breast diseases, fibroadenoma was the most common lesion constituting 40 (40%) cases followed by fibroadenosis (fibrocystic disease) constituting 23 (23%) cases, fibroadenoma with fibrocystic changes constituting 15(15%) and breast abscess constituting 6(6%) cases. Other benign breast diseases include phylloides tumour 4 (4%), lipomas 2(2%) and 2(2%)galactocele. Patients with breast lump 81%, patients with breast pain 37% and patients with nipple discharge 3%.
Conclusion: In short, a comprehensive clinical history and a triple assessment would suffice the tool for effective diagnosis of Benign breast diseases within 72 hrs. With correct radiological and cytological assement unnecessary morbidity associated with surgeries can be avoided in some patients.
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