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New Indian Journal of Surgery

Volume  9, Issue 3, May-June 2018, Pages 300-307
 

Original Article

A Clinico-Pathological Study and Management of Benign Breast Disorders

Dillip Kumar Soren1, Venkata Sandeep Menta2, Muneendra Kumar3, Lokesh4, Suhas Chaithanya5

1-5Assistant Professor, Depatment of General Surgery, Narayana Medical College, Nellore, Andhra Pradesh 524003, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.10

Abstract

Context: Benign Breast disease occurs in females from child hood, puberty to menopause It is 10 times more than breast cancer. 30% of female population suffers from breast disease. This study was undertakento evaluate the incidence and morphological features of Benign Breast Disease. 

Aims: To study various clinical presentations and management of benign breast diseases Settings and Design: Prospective study, done in the Department of General Surgery, tertiary care centre from November 2014 to April 2016.

Methods and Material: Patients of all age groups with lump, pain, nipple discharge, were selected. A detailed history was noted down in the proforma designed for the study. Patients were subjected for FNAC, HPE, Mammogram depending on need. Surgery was done as indicated. Excised specimen sent for histopathological examination. All the patients were followed up. Statistical analysis used: mean and percentages are calculated.

Results: Among 150 cases Fbroadenomas are common 44%, Fibroadenosis 41.3%, breast abscess 4%, phyllodes tumor 2.7%, galactocele 2.7%, gynaecomastia 3.3%. Mean age is 29.6 years. The right breast is more commonly involved. More common in multipara with < 6 months. Commonest presentation is lump in upper outer quadrant. Conclusions: benign lesions of breast need to be differentiated from malignancy. Approach is by triple assessment. FNAC, USG, Mammography are radiological tools. Surgical treatment, assurance, follow up is the main modality of treatment.

Keywords: FNAC; Mammography; Benign Breast Disorders.

 


Corresponding Author : Venkata Sandeep Menta, Assistant Professor, Depatment of General Surgery, Narayana Medical College, Nellore, Andhra Pradesh 524003 India.