Clinical Presentation and Management of Breast Lump in Sylhet M.A.G Osmani Medical College and Hospital- A Study of 100 Cases

Abstract

A breast lump is a growth of tissue that develops within breast. A breast lump is often interchangeably described as a mass, swelling, thickness or fullness. The present cross sectional study was to find the clinical presentation and management of breast lump patient. The study was conducted in the Department of Sylhet MAG Osmani Medical College Hospital between July 2017 to December 2019. The patients who presenting with breast lump were study population and patient with male breast lump and breast abscess were excluded from the study. The mean ages at diagnosis, menarche and menopause were 39.1±15.6, 12.4±1.1, 41.9±10.5 years respectively. The average time lapsed between marriage and 1st child birth was 4.6±2.2 years. Out of 100 patient majorities (84%) patients were married, 8% had family history of breast cancer, 9% had history of taking oral contraceptives. All of the patients complained of swelling in the breast, thirty-four patients complained pain in the breast, twenty-four discharge from the nipple and seven patients complained fever. Half of the patients’ had location of swelling in upper outer quadrant of breast. The mean size of swelling was 4.0±1.5 cm and the lowest and highest size of swelling was 1 cm and 10 cm respectively. Fifty-four percent of patient had firm swelling, forty-one percent had hard and five percent had soft swelling. Two percent had fluctuation in the swelling. Four percent ulceration of breast, two percent peau-d-orange, six percent with fixity of skin and two percent fixity to the underlying structures. Regarding lymph node status twenty-two percent had axillary and four percent had supraclavicular lymphadenopathy. Regarding characteristics of nipple thirteen percent patient had tender nipple followed by eight percent had retracted, four percent had ulcerated and only two percent had protruded nipple. Nearly forty percent patients had blood stained discharge. Out of hundred patients four percent had a history of jaundice, ........