Role of obstetrician and gynecologist in diagnosis and management of breast lump

Abstract

Background: This study of last three years undertaken to determine the types of breast lumps as seen by an obstetrician and gynecologist and to determine the high risk factors for diagnosing malignant breast lump and guide patient for early and proper management. Methods: The diagnostic triad of clinical examination, FNAC and mammography was used to help detect a malignant mass. Results: Out of 202 cases, 162 were of benign breast lump and 40 of malignant breast lump. Age and family history were the most important risk factors. Other risk factors were nulliparity, first child after 30 years of age and postmenopausal age. Fibroadenoma was the most common benign tumor usually occurring at a younger age. Of the 40 cases of malignant breast lump, only 45% were detected early. Conclusion: All gynecologist should examine patient’s reproductive organs as well breast and also learn patient - how to examine breast herself regularly. Thus all obstetrician and gynecologist should participate in the breast cancer screening and help detect this malignancy in its early stage. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 288-291