A study of benign breast disease management based on clinical, radiological and pathological assessment

Authors

DOI:

https://doi.org/10.15587/2519-4798.2022.254037

Keywords:

histopathology, HRUSG, core needle biopsy, fibroadenoma, excision, radiological diagnosis, incision and drainage

Abstract

Benign breast disorders are usually hormone induced and therefore usually seen in the reproductive period of life with dramatic fall in incidence after menopause. As compared to breast cancers, benign breast lesions are 10 times more common.

The aim of the study was to determine the spectrum and incidence of various benign breast diseases in female patients attending our institute and to compare the results with those of other studies.

Material and methods: 80 cases of benign breast diseases which were clinically diagnosed and confirmed pathologically or radiologically were subjected for therapeutic interventions and the results were analysed.

Results: In the present study of 80 cases, the age group most affected by benign breast diseases was 21-30 years. 63 patients (78.8 %) presented with lump in the breast and 23 patients’ common symptom is pain. In most of the cases of lump had duration between 7-12 months (38.8 %), pain for 1-5 days (13.8 %), discharge for 0-5 days (11.3 %). Both breasts were involved in 6 cases (7.5 %) whereas right and left breasts are equally involved in 47 cases each (46.25 %). Most of the patients were nulliparous (46.3 %) followed by multiparous (38.8 %) and uniparous (15.0 %). Fibroadenoma constituted in 53.8 % of patients (44 cases), breast abscess constituted 21.25 % (17 cases). The most commonly affected age group was 21-30 years. 63 patients (78.8 %) presented with lump in the breast and 23 patients presented with pain. HRUSG findings correlated with that of clinical diagnosis in 70 cases. 60 cases underwent core biopsy, and in 41 cases (68.33 %) there were fibroadenoma and 7 cases (11.66 %) fibro adenosis. 59 cases (73.75 %) underwent excision, and 18 cases (22.5 %) incision and drainage.

Conclusion: The most common benign breast disease was fibroadenoma. Most common age group affected with benign breast disease was 21-30 years. 88.7 % of clinical diagnosis, 90.3 % of radiological diagnosis, 93.3 % of core needle biopsy diagnoses were correlating with the histopathology diagnosis

Author Biographies

Sravanthi Kanumuri, Kamineni Academy of Medical Sciences and Research Centre

Assistant Professor

Department of General Surgery

Jaya Durga Chalamalasetty, Kamineni Academy of Medical Sciences and Research Centre

Assistant Professor

Department of General Surgery

A. Suryaprakash Reddy, Kamineni Institute of Medical Sciences

Assistant Professor

Department of General Surgery

Sridhar Punyapu, Kamineni Academy of Medical Sciences and Research Centre

Professor

Department of General Surgery

Raghavendra Damam, Kamineni Academy of Medical Sciences and Research Centre

Senior Resident

Department of General Surgery

Narella Vasumathi Sai Lakshmi Sri, Kamineni Academy of Medical Sciences and Research Centre

Junior Resident

Department of General Surgery

References

  1. Abhijit, R. (2021). A clinicopathological study and management of benign breast diseases in females. MedPulse International Journal of Surger, 6, 83–86. Available at: https://www.researchgate.net/publication/348802677_A_clinicopathological_study_and_management_of_benign_breast_diseases_in_females
  2. Srivastava, P., Arya, P. K., Khertarpal, H. S., Shrivastava, K., Singh, P. (2017). Spectrum of benign breast disease in a tertiary care hospital of Punjab. Journal of Evolution of Medical and Dental Sciences, 6 (79), 5602–5606. doi: http://doi.org/10.14260/jemds/2017/1216
  3. MG, A., D, A., Bhoopal, S., Ramanujam, R. (2013). Benign breast diseases: experience at a teaching hospital in rural India. International Journal of Research in Medical Sciences, 1 (2), 73–78. doi: http://doi.org/10.5455/2320-6012.ijrms20130507
  4. Rajkumar, Ranjan, A. (2017). Clinico-pathological study and management of benign breast lesions. International Journal of Contemporary Medical Research, 4 (12). Available at: https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_1802_v2.pdf
  5. Chilakala, A., Navya, K. C. N. (2019). Clinical Study of Benign Breast Diseases Based on Aberrations in Normal Development and Involution Classification and Development. Journal of Evolution of Medical and Dental Sciences, 8 (31), 2467–2474. doi: http://doi.org/10.14260/jemds/2019/538
  6. Samal, S., Swain, P. K., Pattanayak, S. (2019). Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital. International Surgery Journal, 6 (7), 2428–2432. doi: http://doi.org/10.18203/2349-2902.isj20192968
  7. Sudershan, K., Ashwani, K., Singh, A., Singh, H., Singla, R. (2016). Varied pattern of breast diseases- A Study of 443 cases. IOSR Journal of Medical Sciences, 15 (3), 36–49. Available at: https://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%203/Version-5/G015353649.pdf
  8. Selvakumaran, S., Sangma, M. B. (2016). Study of various benign breast diseases. International Surgery Journal, 4 (1), 339–343. doi: http://doi.org/10.18203/2349-2902.isj20164466
  9. Kumar, M., Ray, K., Harode, S., Wagh, D. D. (2010). The pattern of benign breast diseases in rural hospital in India. East and Central African Journal of Surgery, 15 (2), 59–64. Available at: ajol.info/index.php/ecajs/article/view/136688
  10. Amruthavalli, B. V., Srihari, V. (2015). Clinical study of Benign breast diseases. IOSR Journal of Dental and Medical sciences, 14 (11), 34–40. Available at: https://www.iosrjournals.org/iosr-jdms/papers/Vol14-issue11/Version-10/H01411103440.pdf
  11. Aslam, H. M., Saleem, S., Shaikh, H. A., Shahid, N., Mughal, A., Umah, R. (2013). Clinico- pathological profile of patients with breast diseases. Diagnostic Pathology, 8 (1). doi: http://doi.org/10.1186/1746-1596-8-77
  12. Naveen, N., Avijeet, M., Vikrant, M. (2013). A clinical study of benign breast disease in rural population. Journal of Evolution of Medical and Dental Sciences, 2 (30), 5499–5511. doi: http://doi.org/10.14260/jemds/1016
  13. Sangma, M. B., Panda, K., Dasiah, S. (2013). A Clinico-Pathological Study On Benign Breast Diseases. Journal of Clinical and Diagnostic Research, 7 (3), 503–506. doi: http://doi.org/10.7860/jcdr/2012/5355.2807
  14. Ramesh, K., Bookya, K. (2017). A study on clinical and pathological correlation of benign breast lesions. International Surgery Journal, 4 (8), 2700–2705. doi: http://doi.org/10.18203/2349-2902.isj20173208
  15. Chalya, P. L., Manyama, M., Rambau, P. F., Kapesa, A., Ngallaba, S. E., Masalu, N., Mabula, J. B. (2016). Clinicopathological pattern of benign breast diseases among female patients at a tertiary health institution in Tanzania. Tanzania Journal of Health Research, 18 (1). doi: http://doi.org/10.4314/thrb.v18i1.1
  16. Surati, K., Suthar, K., Parekh, B., Shah, J. (2013). A study of accuracy of triple assessment as a clinical tool for the diagnosis of a palpable breast lump. International Journal of Medical Science and Public Health, 2 (3), 733–737. doi: http://doi.org/10.5455/ijmsph.2013.070520134
  17. Gunes, M. E. (2018). Comparison of the ultrasound-guided tru-cut biopsy with postoperative histopathology results in patients with breast mass. Annali Italiani di Chirurgia, 89, 30–35. Available at: https://pubmed.ncbi.nlm.nih.gov/29629888/
  18. Yousif, Z. H., Yacoub, S. E. (2018). Patterns of Breast Diseases Among Women Attending Breast Diseases Diagnosing Center in Erbil City/Iraq. Global Journal of Health Science, 10 (4), 114–126. doi: http://doi.org/10.5539/gjhs.v10n4p114
  19. Hatim, K. S., Laxmikant, N. S., Mulla, T. (2017). Patterns and prevalence of benign breast disease in Western India. International Journal of Research in Medical Sciences, 5 (2), 684–688. doi: http://doi.org/10.18203/2320-6012.ijrms20170174
  20. Vijayalakshmi, M., Rao, J. Y., Shekar, T. Y., Balakrishnan, S., Divya MSameera, K. et. al. (2016). Prevalence of Benign Breast Disease and Risk of Malignancy in Benign Breast Diseases. IOSR Journal of Dental and Medical Sciences, 15 (8), 32–36. doi: http://doi.org/10.9790/0853-1508083236
  21. Dhirendranath, C., Anjai, K. B. (2016). An Analytical Study of Benign Breast Disease. Indian Journal of Applied Research, 6 (9), 543–545. Available at: https://www.worldwidejournals.com/indian-journal-of-applied-research-(IJAR)/article/an-analytical-study-of-benign-breast-disease/MTAxNzg=/?is=1

Downloads

Published

2022-03-31

How to Cite

Kanumuri, S., Chalamalasetty, J. D., Reddy, A. S., Punyapu, S., Damam, R., & Sri, N. V. S. L. (2022). A study of benign breast disease management based on clinical, radiological and pathological assessment. ScienceRise: Medical Science, (2(47), 11–16. https://doi.org/10.15587/2519-4798.2022.254037

Issue

No. 2(47) (2022)

Section

Medical Science

License

Copyright (c) 2022 Sravanthi Kanumuri, Jaya Durga Chalamalasetty, A. Suryaprakash Reddy, Sridhar Punyapu, Raghavendra Damam, Narella Vasumathi Sai Lakshmi Sri

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.

Authors, who are published in this journal, agree to the following conditions:

1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.

 2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.