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Frequency of benign breast diseases in female patients presenting with breast lumps - a study at Sir Ganga Ram Hospital, Lahore

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Objective: To determine the frequency of benign breast diseases in female patients in our setup. Design: Prospective descriptive study. Place and duration of study: The study was carried on female patients presenting at surgical out door of Sir Ganga Ram Hospital, Lahore during one year i.e. January 2001 to January 2002. Patients and methods: Two hundred female patients presenting with breast lumps at surgical out door of Sir Ganga Ram Hospital, Lahore during one year were studied. All the patients were examined clinically with special emphasis on breast, axilla and supra clavicular fossae. Basic laboratory investigations including blood complete examination, urine complete examination and chest X -ray were done for all the patients. Breast imaging and FNAC of lumps were also done. Final diagnosis was based upon histological examination of the tissues biopsied from the lump. After collecting data, written in proforma, window SPSS software was used to analyze the results. Results: This study shows a high f requency of fibroadenoma (45%) in Pakistani females. Fibrocystic disease is second in frequency and accounts for 36% patients.8% patients had intraductal papilloma and three percent suffered from duct ectasia.5% patients had other conditions related to breast including two patients presenting with pre histological diagnosis of fibrocystic disease who turned out to be malignant after histopathology. Most of the patients had age range of 20-29 years. Conclusion: Fibroadenoma is the commonest of all benign breast diseases in Pakistani women. Fibrocystic change is the second in this regard. Benign lesions of the breast can resemble its carcinoma on clinical examination.
... Khanzada et al showed 27% incidence of fibroadenoma in a study of 275 patients 14 . Other two studies showed a little higher incidence of 42% and 45% respectively 15,16 . ...
... The third most common disease in our study was fibrocystic disease (18.80%). In three other studies the frequency was 21%, 36% and 17% respectively 14,16,15 . Because of low literacy rate and more rural areas, the females affected with fibrocystic disease tend to see a surgeon when the symptoms are alarming. ...
Article
p>The study was conducted to determine the frequency of various benign breast diseases in female patients, to analyze the percentage of incidence of benign breast diseases, the age distribution and their different mode of presentation. This is a prospective cohort study of all female patients visiting a female surgeon with benign breast problems. The study was conducted at Chittagong Metropolitn Hospital and CSCR hospital in Chittagong over a period of 10 years starting from July 2007 to June 2017. All female patients visiting with breast problems were included in the study. Patients with obvious clinical features of malignancy or those who on work up were diagnosed as carcinoma were excluded from the study. The findings were tabulated in excel sheet and analyzed for the frequency of each lesion, their distribution in various age group. Medicine Today 2018 Vol.30(1): 16-18</p
... Ali et al. also reported similar findings in 2005. [10] Breast mass was the presenting symptom in 100% of the participants. This correlates well with the inclusion criteria that included all patients referred for the evaluation of breast masses. ...
... While the number of patients diagnosed with fibrocystic disease was 8, it was the second most common benign breast disease. Similar to fibroadenomas, the number of patients in this group was also smaller than in the previously reported studies [11,12]. Patients with a fibrocystic disease may have lumps that could not be differentiated from malignancy with clinical findings [13]. ...
... 8 Other two studies showed a little higher incidence of 42% and 45% respectively. 10,11 Our study showed a relatively lower incidence of benign breast lumps (14.96%). ...
Article
Background: Breast problems are a burning health issue for today’s women. Breast clinics provide a competent and complete diagnosis for women with any breast symptoms or problems and give appropriate management of the problem. The aim of this study is to determine the disease spectrum among the patients visiting a breast clinic for assistance. Methods: This was a cross section study of all female patients visiting a breast clinic with breast problems. The study was conducted at BIRDEM General Hospital-2 over a period of 3 years from March 2015 till March 2018. Patients suffering from superficial skin lesions of the breast were excluded. The findings were tabulated and analyzed for frequency of each problem. Results: A total of 1279 patients visited the breast clinic during the period of March 2015 till March 2018. Among them 1204 patients were selected after considering eligibility criteria. The age of the patients ranged from 15 to 80 years. Ten percent of these patients were asymptomatic and attended the clinic for breast screening. Among the symptomatic patients mastalgia was the most common presentation (36.65%) followed by fibrocystic disease (22.26%). Benign Breast lump was seen in 14.96% patients. Ten percent patients presented with breast abscess. Nipple discharge and ductal ectasia was seen in 2.66% patients. Breast cancer was found in 2.33% patients. Other rare entities like milk fistula, giant fibroadenoma were also noted. Conclusion: Breast clinincs provide comprehensive assistance to both benign and malignant breast diseases. Breast cancer is the leading cause of cancer deaths in females. Breast screening ensures early detection of breast cancer. Besides malignant disease benign breast diseases also cause much morbidity to female health. This study shows the spectrum of patients coming with breast complaints to such a breast clinic. Birdem Med J 2019; 9(1): 11-13
... Khanzada et al showed 27% incidence of fibroadenoma in a study of 275 patients14. Other two studies showed a little higher incidence of 42% and 45% respectively 15,16 . ...
Article
p> Objective: To determine the frequency of various breast diseases in female patients. Methodology : This is a prospective (historical)cohort study of female patients from 18 to 55 years of age visiting a female surgeon with breast problems. The study was conducted at Chittagong Metropoliton Hospital and CSCR Hospital in Chittagong over a period of 10 years starting from July 2007 to June 2017. All female patients visiting with breast problems were included in the study, excluding the patients of below 18 years and above 55 years. The findings were tabulated in excel sheet and analyzed for the frequency of each lesion. Results: A total of 3555 patients were included in the study. Benign breast disease (BBD) was much more common than the malignant breast disease which was 3.49% (124/3555) of all breast diseases. Fibroadenoma was the most common benign breast disease, seen in 32.26%(1147/3555) of patients followed by mastalgia, seen in 24.22%(861) patients. The next common breast disease is fibrocystic change in 18.80%(668/3555) patients. Conclusion: Breast diseases, both benign and malignant are the common problems of female. But benign breast diseases are much more common than the malignant diseases. Fibroadenoma is the commonest of all benign breast diseases in our set up. Mastalgia and fibrocystic changes are the next two common diseases. J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 10-12</p
... The vast majority of the patients (45.4%) with fibrocystic disease were from 3 rd decade followed by 22.7% from 4 th decade of life. Anyikam A et al. 10 observed the incidence to be 22.9% Ali et al. 11 noted fibrocystic disease as second common BBD after fibroadenoma accounting for 36%. The difference between the age group in patients with fibrocystic disease differs geographically. ...
Article
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AIMS AND OBJECTIVES: The presence of a lump in the breast is a great cause of anxiety and apprehension, to the female patients. This may be accrued to the increasing public awareness of breast cancer which is presently the most common female malignancy worldwide. The aim of th is study was to determine the frequency of benign breast diseases (BBD) amongst patients in tertiary care institute of central India. MATERIAL AND METHOD: It was a cohort study. In this study all patients visiting the surgical OPD clinic with breast proble ms were included. This study was conducted at Chirayu Medical College and Hospital Bhopal over a period of four years starting from November 2010 to November 2014. All patients with definite symptoms and sign of malignancy or those who on evaluation were d iagnosed as carcinoma of breast were excluded from this study. RESULTS: A total of 112 patients were included in the study. About 54.4% (61/112) patients belonged to 3rd decade of life followed by 21.4% (24/112) from 4th decade (age between: 31 – 40 years) . The most common benign breast disease, seen in 33.9% (38/112) of patients was fibro adenoma followed by fibrocystic disease seen in about 19.6% (22/112) patients. Breast abscess was seen in 20/112(17.8%) and Mastalgia was present in 15/112 (13.3%) patien ts. CONCLUSION: In females of reproductive age group Benign Breast Diseases (BBD) are common problems. Fibro adenoma is the commonest of all benign breast disease mostly seen in 2nd and 3rd decade of life. Fibrocystic disease of the breast is the next comm on BBD whose incidence increases with increasing age. Routine mammographic screening of high risk groups aimed at early detection of these premalignant lesions is therefore indicated. A biopsy with histological diagnosis of all breast lumps is also recomme nded as this will aid in the detection of premalignant lesions particularly in low resource settings
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Objective: To analyze the pattern of presentation and pathology of breast lump in adolescents and young female patients. Methods: Medical records of female patients below 30 years presenting with palpable breast lump at Liaquat University Hospital during August 2008 to July 2009 were retrospectively reviewed. Patients having acute mastitis, inflammatory carcinoma and recurrent malignant or benign lesions were excluded from study. Results: A total of 214 patients were included in study. Mean age was 22.11 years. Approximately 46% of the patients were at the age 20 or less. Most common mode of presentation was painless lump in 61.22% followed by pain and lump in 20.56%.The histopathology of resected specimen showed that fibroadenoma was the most common lump while benign phylloides was the least common. Carcinoma breast was identified in 25 cases, of which 3 cases were at age 20 or less. The commonest histopathology was infiltrating duct cell carcinoma (60%), followed by lobular carcinoma (16%), scirrhous carcinoma (12%) and medullary carcinoma in 8 %. The Paget's disease was found in 4%. Conclusion: We found an increased frequency of breast cancer in comparatively younger age. These findings suggest that any female patient with palpable breast lump should preferably be managed by surgeon with special interest and training in breast diseases.
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61.22% followed by pain and lump in 20.56%.The histopathology of resected specimen showed that fibroadenoma was the most common lump while benign phylloides was the least common. Carcinoma breast was identified in 25 cases, of which 3 cases were at age 20 or less. The commonest histopathology was infiltrating duct cell carcinoma (60%), followed by lobular carcinoma (16%), scirrhous carcinoma (12%) and medullary carcinoma in 8 %. The Paget's disease was found in 4%. CONCLUSION: We found an increased frequency of breast cancer in comparatively younger age. These findings suggest that any female patient with palpable breast lump should prefera-bly be managed by surgeon with special interest and training in breast diseases.
Article
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Objective: To determine the frequencies of various benign breast diseases (BBD) in female patients in three private hospitals of Hyderabad. Methodology: This is a prospective cohort study of all female patients visiting the surgical clinic with breast problems. This study was conducted at Isra University Hospital Hyderabad and two other private hospitals of Hyderabad over a period of about three years starting from March 2004 to February 2007. All female patients visiting the surgical clinic with breast problems were included in the study. Patients with obvious clinical features of malignancy or those who on work up were diagnosed as carcinoma were excluded from the study. Results: A total of 275 patients were included in the study. About 44% (120/275) patients belonged to 3rd decade of life (age between: 21-30 years) followed by 33% from 4th decade (age between: 31 - 40 years). Fibroadenoma was the most common benign breast disease, seen in 27% (75/275) of patients, followed by fibrocystic disease seen in about 21% (57/275) patients. Conclusion: Benign Breast Diseases (BBD) are common problems in females of reproductive age. Fibroadenoma is the commonest of all benign breast disease in our set up mostly seen in 2nd and 3rd decade of life. Fibrocystic disease of the breast is the next common BBD whose incidence
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