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A Clinicopathological Study of Benign Breast Diseases: Our Experience at a Rural Medical College, Telangana

Gautam N. Gole, Professor & HOD, Department of General Surgery, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Nuh, Mewat, Haryana 122107, India. , B. Sujeeth Kumara , Gautam N. Goleb , Sheetal G. Golec

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New Indian Journal of Surgery 9(2):p 204-209, March - April 2018. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.17

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Abstract

Introduction: Benign Disorders of Breast represent large proportion of workload at specialist breast clinic. It is important to carefully diagnose and distinguish these disorders from premalignant and malignant diseases of the breast. Management requires multidisciplinary approach involving surgeons, pathologists and radiologists. Aims and Objectives: To study incidence, age distribution, various clinical presentations, role and accuracy of fine needle aspiration cytology and management protocol based on the investigations and histopathology of benign breast diseases.

Material and Methods: Present study was a prospective study done over a period of 2 years and includes 100 cases of benign breast lump who attended the outpatient department of General Surgery in a tertiary care hospital, Telangana. Data regarding age, sex, site, laterality and duration of symptoms of the lesion were documented for each case. All the cases underwent routine hematological investigations, mammography, fine needle aspiration cytology and excisional biopsy.


Results: Study included clinically diagnosed 100 cases of benign breast lesions belonging to age group ranging from 11-80 years. Maximum numbers of patients 38 (38%) were in the age group of 21-30 years. According to sex distribution, females were 92 (92%) and males were 8 (8%). Patients presented with different types of symptoms. Sixty eight cases (68%) involved right breast, 28 cases (28%) left breast, and 4 cases (4%) bilateral breasts. Incidence of various lesions based on clinical diagnosis were fibroadenoma 60 (60%), fibroadenosis 12 (12%), gynaecomastia 8 (8%), breast abscess 6 (6%). Four  (4%) cases each of galactocoele and mastitis. Two (2%) cases each of duct papilloma, filariasis, and accessory breast. Fine needle aspiration cytology accuracy was 96%.

Conclusion: Benign breast diseases are common in female patients of 21-30 years of age group; fibroadenoma is the commonest of them all. Fine needle aspiration cytology provides a quick diagnosis and alleviates unnecessary anxiety about breast cancer.
 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.17

Keywords

Benign Breast Disease; Fibroadenoma Fibroadenosis; Fine Needle Aspiration Cytology.

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