Background: There is a rise in the trend of benign breast diseases (BBDs) currently; this is made possible through public awareness of the disease. Aim: To determine the pattern of BBDs in a 5-year retrospective study was the aim of this study. Materials and Methods: A 5-year retrospective study and all histopathologically proven BBDs from January 2015 to December 2020 were reviewed. Software, version 21 of the statistical package for the social sciences (SPSS) was used for data analysis. Results: Cases of BBDs diagnosed within the study period were 143 and were made up of 5 (3.5%) males and 138 (96.5%) females, with a ratio of 1: 28. Among the females, the most commonly affected age group was 21–30 years contributing 57.8% (80/138), followed by ≤20 years contributing 36.2% (50/138). Among males ≤20 years of age group are mostly affected and contributing 60% (3/5). Fibroadenoma accounted for 62.9% (90/143), followed by fibrocystic disease (FCD) contributing 16.8% (24/143). The less common breast diseases in this study were fat necrosis, lipoma, granulomatous mastitis, periductal mastitis, and cysticercosis accounting for 0.7% each. Conclusion: Fibroadenoma remains the most common BBD although higher than in the earlier study, followed by FCD in our centre. Females constituted most of the affected individuals (21–30 years). The practice of breast self-examination should be encouraged to detect and treat lumps which may be malignant early enough to reduce morbidity and mortality.
Background: There are only a few epidemiological studies published on skin disorders in the elderly within the Nigerian context and none from the Southeast Region of the country. In addition, none of these studies has considered the pattern and frequency of histopathologically diagnosed geriatric skin lesions. Hence, we attempted to determine the frequency as well as the age and gender distributions of histologically diagnosed dermatological diseases in geriatric population from skin biopsies submitted to the histopathology department of a tertiary care hospital in Southeast Nigeria. Materials and Methods: This is a cross-sectional retrospective hospital-based study involving all skin biopsies of patients 60 years and above, received at the Department of Histopathology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, from January 2004 to December 2019. Results: During the study period, 751 skin biopsies were received in the histopathology department. Of these, 142 were from patients who were older than 60 years. Thus, the overall share of geriatric patients was 18.9%. The mean age at presentation was 71.1 ± 8.6 years. The M: F was 1:1, and most of the patients belonged to the age group of 60–69 years (69 cases, 48.6%). The mean age of the male patients was 72.1 ± 9.5 years. In the female patients, it was 70.1 ± 7.5 years. The most common disease category was neoplasms (91, 64.1%). Most neoplasms were malignant. There were 67/142 (47.2%) malignant lesions. The most common was Squamous cell carcinoma (SCC) (30 cases) which is 21.1% of all geriatric skin biopsies and 44.8% of malignant skin biopsies. This is closely followed by melanoma (29 cases). Conclusion: Malignant neoplasms, benign neoplasms, and papulosquamous disorders are the three most common histologically diagnosed skin lesions in our geriatric population. The most common skin malignancies in this group of patients are SCC and malignant melanoma.
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