IP Archives of Cytology and Histopathology Research


Clinicopathological evaluation of Benign Breast diseases- A Retrospective study in a medical college teaching hospital in Mandya


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Author Details: Siddegowda M.S, Kusuma K.N, Shivakumar S.

Volume : 2

Issue : 2

Online ISSN : 2456-9267

Print ISSN : 2581-5725

Article First Page : 46

Article End Page : 49


Abstract

Background: Benign breast diseases are a neglected entity in developing countries despite the fact that they constitute the majority of breast complaints. Background knowledge of general features of individual breast diseases like incidence, age distribution, symptoms and examination findings are essential for the correct diagnosis of breast diseases.
Methods: A retrospective hospital-based descriptive study was conducted in the Department of Pathology, Mandya Institute of Medical Sciences, Mandya, over a period of five years from January 2011 to December 2015. The clinico-pathological details of the cases were obtained from medical records section and department records.
Results: A total of 120 women patients were included in the study during the five years. The age of the patients ranged between 13-50 years with mean of 31.5 years. Majority of the patients were in the age group of 20-30 years (41.7%, 50/120). Breast lump was the most frequent presentation followed by pain in the breast. Fibroadenoma was the most common lesion, seen in 66 of patients (55%), followed by fibrocystic diseases (24.2%), fibroadenoma with fibrocystic changes (7.5%), granulomatous mastitis (3.3%), benign phyllodes tumour (3.3%); 1 case each of fat necrosis , epidermal cyst, seborrheic keratosis, breast abscess, fibroepithelial polyp, tubular adenoma, hematoma and acute-on-chronic mastitis.
Conclusion: Benign breast diseases are more common than malignancies of the breast in women and mainly seen in young women of age less than 30 years. Fibroadenoma is the commonest lesion followed by fibrocystic change. Although certain lesions like epidermal cyst, seborrheic keratosis and fibroepithelial polyp are rare, the pathologist needs to consider them as a differential diagnosis in certain cases and thus, histopathology plays a crucial role in the final diagnosis of benign breast diseases.

Keywords:
Benign breast diseases, Fibroadenoma, Fibrocystic disease, young women