Spectrum of Benign Breast Diseases in a Tertiary Care Hospital of Punjab

Abstract

BACKGROUNDBenign breast diseases (BBD) constitute a heterogeneous group of disorders including developmental abnormality, epithelial and stromal proliferation, inflammatory lesions and neoplasm. As compared to breast cancers, benign breast lesions are 10 times more common. Benign breast lesions deserve attention because of their high prevalence, their impact on women's life and due to cancerous potential of some histological types. MATERIALS AND METHODS120 cases were diagnosed as BBD after triple assessments like clinical examination, ultrasonography or mammography, FNAC or excisional biopsy. Patients with obvious malignancy were excluded from the study. RESULTSOut of 120 benign lesions, the commonest presentation was breast lump (60%) commonly involving left upper outer quadrant. Fibroadenoma accounted for 39.2%, fibroadenosis 31%, mastalgia 13.3%, breast abscess about 7.5% and gynaecomastia 7.5%. The other benign lesions observed were phyllodes, cysts, lipoma, galactocele, mastitis, duct ectasia and accessory breast. In case of fibroadenoma, accuracy of clinical diagnosis vs radiology and pathology was found to be 91% and 94% respectively, and 100% for galactocele and breast abscess. CONCLUSIONBBDs are common in females and fibroadenoma is the commonest in all. Triple assessment provided a quick diagnosis and it alleviated unnecessary anxiety for the patients about breast cancer. The clinical diagnosis of the breast lump as confirmed by radiology and pathology was accurate in 91% and 94% of cases respectively.

Morbidity Profile of Cases Attended Oncology Center of Mansoura University (OCMU), Egypt: A Cross-Sectional Study

“…One fifth of cases were benign breast tumors. These findings contradict a study that reported benign breast tumors as the most common and accounted for more than 1/3 of the cases recruited, and fibroadenosis which accounted for about 1/3 of cases [52]. Thorough investigation of the environmental and hormonal risk factors relevant in the study population is required.…”

Histopathological patterns of breast neoplasms: A study in tertiary care hospital

“…[15} , Jadhav et al [21] , Pankaj et al [9] , Dayanand et al [22] , Amna Khurshid [23] , and Anmod G. L [24] . Among the malignant lesions, Infiltrating Duct Cell Carcinoma-not other specified was the commonest tumor followed by Invasive Lobular Carcinoma.…”

“…In India, it forms the second common malignancy after carcinoma cervix [4] and is detected in 20 per 100,000 women [5] . Benign breast diseases are more prevalent as compared to malignant and inflammatory [6,7,8,9] . Due to lack of awareness and education, patients present with advanced disease.…”

Mammography Screening in Benign Breast Disease for Risk Stratification of Malignancy

“…These findings were very similar to the present study. Srivastava et al (2017) 13 revealed that lesion was most commonly present in upper outer quadrant 33 cases (27.5%) and in lower outer quadrant there were 18 cases (15%). The absence of benign breast lesions using histology (gold standard) testing in this study implies that it is not feasible to calculate specificity of BIRADS for diagnosing breast cancer in the current study.…”