Introduction: In India, breast carcinoma is the second most common cause of death in women next only to cervical cancer and the incidence is as high as 20 per 1,00,000 women. The benign lesions are most common in the first few decades of life while incidence of malignant lesions peaks after menopause. The world wide incidence of breast cancer is estimated to be 1.38 million cases which is approximately 10.9% of the total malignancies detected every year.

Materials and Methods: The present retrospective study was undertaken to know the histopathological spectrum of the breast lumps received in the histopathology department of Sampurna Sodani Diagnostic Clinic, a stand alone diagnostic centre of Central Madhya Pradesh. A total of 91 breast specimens, including biopsy, lumpectomy and mastectomy specimens were included in the study.

Results: Out of these 91 cases, 80 cases (87.9%) were benign in nature and 11 cases (12.08%) were of malignant nature. Fibroadenoma was the most common benign neoplasm constituting 79.12% of all cases followed by chronic mastitis (4.39%), fibrocystic disease (2.1%) and benign phylloides tumor and lactating adenoma (1.09%) each. Of the malignant neoplasms, ductal carcinoma was the most common (8.79%) of all lesions followed by papillary carcinoma (2.1%) and one case of medullary carcinoma with an incidence of 1.09% of all malignancies.

Conclusion: Palpable and non - palpable lumps in breasts are common in females and require histopathological diagnosis for proper and timely management. Benign diseases of breasts are far more common than malignancies and fibroadenoma is the most common benign neoplasm.

Keywords: Breast Lump; Fibroadenoma; Ductal Carcinoma; Benign; Malignant.