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New Indian Journal of Surgery

Volume  9, Issue 1, Jan-Feb 2018, Pages 22-26
 

Original Article

A Study on Clinico-Pathological, Radiological Evaluation and Management of Benign Breast Diseases

Purna Chandra Pandaa, Dasarathi Murmub, Sibaram Mohapatrac, Kalpita Patrad

aAssociate Professor, bAssociate Professor, cProfessor, dJunior Resident, Department of Surgery, IMS & SUM Hospital, Bhubaneswar, Odisha 751003, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9118.4

Abstract

Background: Benign breast diseases is usually seen in female reproductive life accounting for more than 90% of the cases with benign breast lumps on presentation. Fibroadenoma is a common cause of benign breast lumps in premenopausal women. Fibrocystic disease of breast is a histological term presenting as lump or lumpiness. Triple assessment by clinical, pathological and radiological examination is a standard approach in the evaluation of breast lumps. This study was aimed to establish a clinicopathologic and radiological correlation and subsequent management in patients with benign breast diseases.

Materials and Methods: A prospective study was conducted at IMS & SUM Hospital, Bhubaneswar, India during the period of October 2015 to September 2017. In this study, 102 females with benign breast lumps were evaluated by clinical breast examination, ultrasonography (USG) and Fine needle aspiration cytology (FNAC) methods. All patients underwent excision biopsy of lump. Final histopathological report was taken as reference standard.

Results: Surgical excision was an effective treatment for most of the benign breast diseases. Clinical breast examination and USG showed good sensitivity but less specificity than FNAC. FNAC showed both good sensitivity and specificity.

Conclusions: Fibroadenoma and Fibroadenosis are the most common benign breast diseases. Triple assessment by clinical, pathological and radiological examination is a standard approach in the evaluation of breast lumps. Surgical excision was an effective treatment for most of the benign breast diseases.

 

 


Keywords : Benign Breast Disease; FNAC; HPE; Ultrasonography. 
Corresponding Author : Dasarathi Murmu, Associate Professor, Department of Surgery, IMS & SUM Hospital, Bhubaneswar, Odisha 751003, India.