Abhishek Sharma1 , Roshan Chanchlani2
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 this 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 problems 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 diagnosed 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%) patients.
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 common 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 recommended as this will aid in the detection of premalignant lesions particularly in low resource settings