Spectrum of Benign Breast Diseases in Females of Reproductive Age Group

Abstract

Background: Benign Breast disease constitute a significant entity, since these lesions are far commoner than malignant breast lesions and some of them pose risk of developing malignancy in later life. Aim: To study the frequency of various benign breast diseases in the females, to analyse the percentage of incidence of various benign breast lesions, the age distribution and different mode of presentation. Materials and Methods: A total of 74 patients were diagnosed with benign breast lesions both by fine Needle Aspiration cytology (FNAC) and Histopathology over a period of one year in a tertiary care centre were the participants of this study. The findings were tabulated in excel sheet and analyzed for the frequency of each lesion, their distribution in various age group. Results:The spectrum of Benign breast diseases diagnosed were Fibroadenoma - 55.4% (n=41), Fibrocystic disease – 27% (n=20), Phyllodes Tumour – 5.4% (n=4), Florid Ductal hyperplasia of the usual type – 4% (n=3), Intraductal papilloma – 2.7% (n=2), Breast abscess – 2.7% (n=2), Granulomatous mastitis – 1.4% (n=1) and Lactating adenoma – 1.4% (n=1). The mode of presentation of the patients was Lump in the breast - 54% (n=40), Vague mass with pain - 23% (n=17), discharge from nipple 12% (n=9) and pain in the breast-11% (n=8). Regarding the laterality of the breast disease, 47.2% (n=35) were on right side, 50% (n=37) were on left side and 2.8% (n=2) were bilateral. Conclusion: It is essential to recognize the significance of Benign Breast disease to segregate the high risk group of patients for whom a regular surveillance is needed for an appropriate management. Key words: Spectrum, Breast disease, Benign, Lump, Risk, Management