Study of various benign breast diseases

Selvakumaran, S.; Sangma, Mimamaychet B.

doi:10.18203/2349-2902.isj20164466

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…In our study, the most prominent symptoms was painless lump which was in accordance with study performed by Selvakumaran S et al 21 and Sagar et al 22 On the contrary, Krishnaswami et al 19 and Shukla et al 17 noted mastalgia as the most significant problem. In the current study, left upper outer quadrant was most commonly involved.…”

Section: Discussionsupporting

confidence: 92%

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

Srivastava¹,

Arya²,

Khetarpal³

et al. 2017

jemds

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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.

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Section: Discussionsupporting

confidence: 92%

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

Srivastava¹,

Arya²,

Khetarpal³

et al. 2017

jemds

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“…In this study the clinical diagnostic accuracy was found to be 88% and the same was 86.7% in study by Smallwood et al, 91.3% in study by Dandpat et al and 85% for Furnival et al [21][22][23] We found the diagnostic accuracy for FNAC was 93% and comparable results were found in studies by Selvakumaran et al (89.6%) and Rajkumar et al (98%). 24,25 In this study the accuaracy of mammography in diagnosing benign breast diseases was 83.33 % whereas 87% diagnostic accuaracy and sensitivity 100% was in study by Patil et al 26…”

Section: Resultsmentioning

confidence: 59%

Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital

Samal¹,

Swain²,

Pattanayak³

2019

Int Surg J

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Background: Study of pattern of benign breast disease is a challenge due to variants in occurrence and presentation in different age groups and different geographical areas. The objective was to study the pattern of benign breast diseases and its clinical, pathological and radiological correlation.Methods: This is a prospective study of females with benign breast diseases presenting to surgery department. This work was done for studying the age distribution, to evaluate the different types of benign diseases of the breast, their mode of clinical presentation, pathology, to evaluate the accuracy of different modes of triple assessment and various modes of management for different types of Benign Breast Diseases. Patients with obvious malignancy and males were excluded from the study.Results: A total of 200 females were included in the study. Fibroadenoma (55%) was the commonest diseases with presenting mostly at 20-24years of age. Clinical examination had accuracy of 88%, USG had accuracy of 77.3%, FNAC had 93% and mammography had 83.33% accuracy foe diagnosing benign breast diseases.Conclusions: Benign breast diseases are common problems of 2nd and 3rd decade in females and raises considerable fear of malignancy. The patients of BBDs generally present with one or more of these complaints-breast lump, breast pain or nipple discharge. All the patients with discrete breast lumps should undergo a triple assessment to make an early diagnosis.

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“…Its aim is to classify patterns based on prior knowledge or statistical information extracted from patterns. Here, the perspective is on identification of pattern that is based on various morphological attributes on aspirates of breast lesions (cellular features, background material, and other features) [11,12,19].…”

Section: Discussionmentioning

confidence: 99%

Cytomorphological Study of Breast Lesions in Correlation with Quadrant Location to Assess Prognosis

M¹,

Kaza²,

Fathima³

et al. 2021

Middle East Res J Microbiol Biotechnol

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Introduction: Tumour location within the breast varies with the highest frequency in the upper outer quadrant (UOQ) and lowest frequency in the lower inner quadrant (LIQ). Whether tumour location is prognostic is unclear. To determine whether tumour location is prognostic, associations between tumour site and clinicopathological characteristics were evaluated. Materials and Methods: All patients enrolled in the Clinical Breast Care Project whose tumour site—UOQ, upper inner quadrant (UIQ), central, LIQ, lower outer quadrant (LOQ)—was determined by a single, dedicated breast pathologist were included in this study. Patients with multicentric disease (n = 73) or tumours spanning multiple quadrants were excluded from further analysis. Clinicopathological characteristics were analysed using chi-square tests for univariate analysis with multivariate analysis performed using principal components analysis (PCA) and multiple logistic regression. Significance was defined as P < 0.05. Results: Of the patients with defined tumour location, 30 had bilateral disease. Tumour location in the UOQ (51.5%) was significantly higher than in the UIQ (15.6%), LOQ (14.2%), central (10.6%), or LIQ (8.1%). Tumours in the central quadrant were significantly more likely to have higher tumour stage (P = 0.003) and size (P < 0.001), metastatic lymph nodes (P < 0.001), and mortality (P = 0.011). After multivariate analysis, only tumour size and lymph node status remained significantly associated with survival. Conclusions: Evaluation of tumour location as a prognostic factor revealed that although tumours in the central region are associated with less favourable outcome, these associations are not independent of location but rather driven by larger tumour size. Tumours in the central region are more difficult to detect mammographically, resulting in larger tumour size at diagnosis and thus less favourable prognosis. Together, these data demonstrate that tumour location is not an independent prognostic factor.

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Study of various benign breast diseases

Cited by 8 publications

References 9 publications

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

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

Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital

Cytomorphological Study of Breast Lesions in Correlation with Quadrant Location to Assess Prognosis

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