Abstract

NON-INFLAMMATORY BENIGN BREAST DISEASES (NIBBD): CONFUSING SURGICAL DISORDERS OF BREAST CANCER

Author(s): Somashekhar V. Hiremath1

BACKGROUND
Benign Breast diseases are of unknown aetiology, they could be inflammatory or non-inflammatory disorders of breast disease. Among these, NIBBD is a most confusing surgical disorder, diagnosis should be made at least after three assessments.
AIM
??? To evaluate the prevalence of NIBBD.
??? Clinical analysis of NIBBD in women and reproductive age group between 20-40 years.
??? To prevent radical breast surgery in NIBBD.
??? To know about benign breast lesions in males excluding gynaecomastia.
MATERIALS AND METHODS
A clinicopathological study of NIBBD was taken in KIMS Hospital, Hubli, a tertiary care government hospital between June 2014 to June 2015. A total of 56 cases were selected of which 51 cases were submitted for clinicopathological study.
RESULTS
Increase incidents of fibroadenoma in females, in young age group, is noticed due to early menarche, early marriage, multiparity, fibrocystic diseases involvement at the age of 35 years, usually appear on either side of the breast. Moderate loss of glandular tissue is accelerated and replaced by connective tissue, hence fibrocystic diseases appear at late age group. Gynaecomastia is the only NIBBD, seen unilaterally in males.
CONCLUSION
NIBBD is more common in childbearing age group i.e. 15 to 45 years of age. Triple assessment is the choice of diagnosis, imaging modality being USG of the breast and mammography in suspected cases of malignancy. Most of the patients require surgical intervention and remodelling of the Breast, according to the volume loss of breast tissue.