Abstract
Background: Study of pattern of benign breast disease is a challenge due to variants in occurrence and presentation in different age groups and different geographical areas. The objective is to study the clinical profile and pattern of benign breast disease and its pathological correlation. Methods: This is a prospective study of females with breast disease presenting to surgery department over a period of one year. This survey was mainly meant for studying the age distribution, to evaluate the different types of benign diseases of the breast, their mode of clinical presentation and pathology and to evaluate the various modes of management for different types of Benign Breast Diseases. Patients with obvious malignancy and males were excluded from the study. Results: A total of 100 females were included in the study. Fibroadenoma (37%) and fibroadenosis (23%) were the commonest diseases,both presenting mostly at 21-30years of age. Left side involvement was most common. The commonest presentation was breast lump which comprised 84 (84%) cases, out of which 26 (26%) had associated complaints like breast pain and nipple discharge. Conclusion: Benign breast diseases are common problems of 2nd and 3 rd decade in females and raises considerable fear of malignancy. The patients of BBDs generally present with one or more of these complaints – breast lump, breast pain or nipple discharge. All the patients with discrete breast lumps should undergo a triple assessment to make an early diagnosis.
Highlights
Benign breast disease is a neglected entity despite the fact that it constitutes the majority of breast complaints.[1]
A prospective study of Benign breast lesions was carried out in the department of General Surgery, Bangalore Medical College and Research Institute, Bangalore from May 2015 to June 2016 for a period of one year. This survey was mainly meant for studying the age distribution, to evaluate the different types of benign diseases of the breast, their mode of clinical presentation and pathology and to evaluate the various modes of management for different types of Benign Breast Diseases. 2.1 Inclusion criteria: Female patients with any benign disorder/disease of the breast-for example, a breast lump, breast pain or a nipple discharge in the age group of 15 to 55 years were included in the study. 2.2 Exclusion criteria: Women with an obvious malignant disease or those who had been treated for malignancy earlierand male patients were excluded in this study
Fibroadenoma formed the most common benign breast disease accounting for 37 cases (37%), followed by fibroadenosis in 23 cases (23%)
Summary
Benign breast disease is a neglected entity despite the fact that it constitutes the majority of breast complaints.[1] The vast majority of the lesions that occur in the breast are benign. Breast is a dynamic organ which undergoes cyclical changes throughout a woman’s reproductive life. Hormones and growth factors acting on the epithelial and stromal elements right from the onset of puberty till menopause cause significant morphological changes leading to Aberration in Normal Development and Involution (ANDI) causing majority of benign breast diseases.[2]
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