DOI: http://dx.doi.org/10.18203/2349-2902.isj20180343

A study of clinical patterns in benign breast disorders

Trupti P. Tonape, Akriti R. Tulsian, Debabrata D. Gope, Jyotsna C. Gogineni

Abstract


Background: This is a prospective study aimed at evaluating patients presenting with breast related complaints at Dr. D.Y. Patil Medical College, Pimpri, Pune. It outlines various clinical patterns in benign breast disorders; this includes age, type of presentation, side and quadrant of breast involved, size of breast lump and the eventual diagnosis.

Methods: A prospective study was conducted at Dr. D.Y. Patil Medical College, Pimpri, Pune, between July 2016 and July 2017. Author evaluated 50 patients, male and female, of all ages, presenting with complaints suggestive of a benign breast disorder. Patients that were a proven case of carcinoma of breast and those diagnosed with a malignant condition of the breast during evaluation were excluded from the study.

Results: The incidence of benign breast disorders is the highest in the age group of 21 to 30 years (42%). Most common presentation of benign breast disorder in the series was found to be lump in the breast (58%). The Left breast (44%) was noted to be more commonly involved than the Right breast (40%). Most commonly involved quadrant of breast was the upper inner quadrant (30%), followed by the upper outer quadrant (24%).Most of the breast lumps were of size ranging from 3 to 3.9cm (36.58%) followed by those of size ranging from 2 to 2.9cm. (21.95%). Fibroadenoma (42%) was the most common benign breast disorder in present study, followed by fibro-adenosis (18%).

Conclusions: Every benign breast disorder presents in a certain age group and follows a certain clinical pattern as outlined in this study. Detailed history taking and clinical examination while keeping in mind these clinical patterns, along with ultrasound and FNAC (triple test), aids in establishing the diagnosis of a benign breast disorder within 72 hours. Hence, the anxiety caused by breast lumps and nodularity can be alleviated by excluding the diagnosis of carcinoma breast. And since majority of benign lesions are not associated with an increased risk for subsequent breast cancer, unnecessary surgical procedures can be avoided.

 


Keywords


Breast, Benign, Benign breast disorder

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References


Guray M, Sahin AA. Benign breast diseases: classification, diagnosis, and management. The Oncologist. 2006;11:435-49.

Bhargava GS, Gupta A, Grover A, Ded KS. Benign breast disorders: rural Punjab population study compared with urban population studies. Int Surg J. 2015;2(4):629-33.

Bagale P, Dravid NV, Bagale S. Clinicopathological study of benign breast diseases. Int J Health Sci Res. 2013;3(2):47-54.

Hughes LE, Mansel RE, Webster DJ. Aberrations of normal development and involution (ANDI); a new perspective on pathogenesis and nomenclature of benign breast disorders. Lancet. 1987;2:1316-9.

Foncroft LM, Evans EB, Hirst C, Hicks BJ. Presentation and diagnosis of adolescent breast disease. Breast. 2001;10(5):399-404.

Ratana chaikamont T. Clinical breast examination, palpable breast lesion. J Med Assoc Thai. 2005;88(4):505-7.

Singh SK, Ahmad KN, Pankaj D, Ansari MA. Benign breast lesions in a teaching hospital in rural Bihar. IJSS J Surg. 2016;2(1):6-10.

Das NN, Debbarma A, Debbarma G. A clinicopathological study of benign breast diseases in rural population. Int J Res Med Sci. 2014;2:1067-9.

Adesunkami AR, Agbakwuru EA. Benign breast disease at Wesley Guild Hospital, Ilesha, Nigeria. West Afr J Med. 2001;20(2):146-51.

Ihekwaba FN. Benign breast disease in Nigerian women: a study of 657 patients. J R Col Surg Edin. 1994;39(5):280-3.

Florica JV. Fibrocystic changes. O and G Clin N Am. 1994;21(3):445-59.

Greenberg R, Skornick Y, Kaplan O. Management of breast fibroadenomas. J Gen Inter Med. 1998;13:640-5.

Ogando RA, López FT. Cystosarcoma phyllodes of the breast: a case report in a 12-year-old girl. Clin Transl Oncol. 2010;12(10):704-6.

Kharkwal S, Sameer, Mukherjee A. Triple Test in Carcinoma Breast. JCDR. 2014;8(10):NC09-11.