Abstract

A Study on Clinical Evaluation and Management Modalities in Benign Breast Diseases

Author(s): V. Ajay Chanakya1, Sreekanth Kotagiri2, Gogineni Tarun Chowdary3, K.V.V.S.D. Sriram4, Ch. Vasu Reddy5, T. Jaya Chandra6

BACKGROUND
Benign breast diseases (BBDs) are a common cause of breast problems in up to
30 % of women. The pathogenesis of BBD involves disturbances in the breast
physiology. There is a necessity for thorough comprehensive, prompt diagnosis
and management of the benign conditions to reduce the physical and
psychological illness of the patients who are anxious about the possibility of the
disease being a malignant one.
METHODS
This was a prospective study conducted in the Department of Surgical Oncology,
GSL medical college from October 2016 to July 2018. Females presenting with
breast lump, confirmed with fine needle aspiration cytology (FNAC), aged
between 12 – 55 years and fit for surgery were included in the study. Those who
did not submit the informed consent were excluded. Statistical analysis was
performed by SPSS version-21 and MS Excel 2013.
RESULTS
Most (74 %) of the patients were between 20 and 40 years of age, 56 % were
diagnosed to be fibroadenoma. In the study group, 82 % (41) participants with
BBD were married. The most common presenting complaint in the study group
was lump (50 %) in the breast followed by lump associated with pain (28 %).
Patients with fibroadenoma mass had well defined features.
CONCLUSIONS
Lump was the most common clinical presentation followed by lump with
pain. Based on the FNAC report, decision is made for management.
Comprehensive and prompt preoperative diagnosis and management of the
benign conditions is necessary to reduce the physical and psychological
burden on the patients who are anxious about the possibility of malignancy.