DOI: http://dx.doi.org/10.18203/2349-2902.isj20205448

A clinicopathological profile of benign breast diseases in women in a tertiary care hospital

Mufsil Parappurath, Samadarsi Raghavan, Jayasankar Vikraman Nair, Sunandha Kumari Lawrence Thulasibhai

Abstract


Background: 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. Objectives were to find out the proportions of various benign breast lesions among women aged 18 yrs and above.  

Methods: A prospective study was conducted in the Department of Surgery, Shree Gokulam Medical College, Thiruvananthapuram for a period of 18 Months from January 2016 to June 2017. A total of 180 study subjects were included in the study. All the women aged more than 18 yrs. old attending the surgery OPD with palpable or immunologically detected breast lesions will be consecutively selected for the study.

Results: The commonest case among the study population was fibroadenoma 56 (31.1%). There were 9 cases of duct ectasia, 8 duct papilloma’s. Fibroadenoma could be diagnosed clinically with an accuracy of about 88% (56 cases) out of total 69 cases.

Conclusions: 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.  


Keywords


Breast, Tumor, Adoloscent, Benign, Fibroadenoma

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References


Krishnaswamy U. Profile of benign breast diseases in Urban India. Ind J Surg. 2003;65:178-81.

Khemka A, Chakravarthi N, Shah S, Patel V. Palpable breast lumps: fine needle aspiration cytology versus histopathology, a correlation of diagnostic accuracy. Internet J surgery. 2009;18:1.

Cole P, Mark Elwood J, Kaplan SD. Incidence rates and risk factors of benign breast neoplasm. Am J Epidermal. 1978;108:112-20.

Hutchinson WB, Thomas DB, Hamlin WB, Roth GJ, Peterson AV, Williams B. Risk of breast cancer in women with benign breast disease. J Nat Canc Instit. 1980;65(1):13-20.

Kelsey JL, Gammon MD. Epidemiology of breast cancer. Epidemiol Rev. 1990;12:228-40.

Sarnelli R, Squartini F, Fibrocystic condition and “at risk” lesions in asymptomatic breasts, a morphologic study of post-menopausal women. Clini Exp. Obstet Gynecol. 1991;18:271-9.

Cook MG, Rohan TE. The patho epidemiology of benign proliferative epithelial disorder of the female breast. J Pathol. 1985; 146:1-15.

Mansel RE. Benign breast disease. Practitioner. 1982;232:830-37.

Sainsbury RC. Bailey and Love’s Short Practice of Surgery .25th. London: Edward Arnold Ltd; 2008. Breast IN: Norman WS, Bulstrode CJK, P. Ronan O’Connel editors; pp.827-35.

Love SM, Gelman RS, Silen W. Fibrocystic diseases of the breast – a non-disease? N Eng J Med.1982;309:1010-4.

Greenal MJ, Benign conditions of breast eds. In: Morris PJ, Wood WC Eds. Oxford textbook of surgery Vol 2, 2nd ed, Newyork: Oxford University Press Inc. 2000:1172-89.

Uma K. Refractory mastalgia or inadequately treated mastalgia? Indian J Surge 2004; 66:89-92

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

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

Pandey TS, Mackinnon JC, Bressler L. Idiopathic granulomatous mastitis-a prospective study of 49 women and treatment outcomes with steroid therapy. Breast J. 2014;20(3):258-66.

Starvos at, Thickman D, Rapp CL, Dennis MA, Parker SH, Sisney GA, Solid breast nodule: Use of sonographic to distinguish between benign and lesions. Radiology 1995;196:123-34.