scholarly journals Cytomorphological study of palpable benign breast lesions

Author(s):  
Preeta Naik

Background: Benign breast disease is one of the most common lesions of breast in the reproductive age group. Fine needle aspiration cytology (FNAC) is one of the preliminary tests done to detect breast lesions which help in early detection and management. Studying the cytology and histopathology features of various benign breast diseases was the aim of this study.Methods: This study is a cross sectional retrospective study conducted in Department of Pathology during September 2016 to February 2017. Clinical details, cytology and histopathology features were collected from the Department records.Results: A total of 82 cases were collected during the study period. Age groups ranged from 16-40 years. Majority of cases were females and two cases were males. Spectrum of lesions was composed of fibroadenoma, fibrocystic change, breast abscess, benign phyllodes tumor and gynecomastia. Histopathology was done in 41 cases. There was good correlation between cytology and histopathology in this study.Conclusions: Breast lumps are a common cause of anxiety and apprehension among patients. FNAC helps in rapid diagnosis and early management of lesions. It also helps in preventing unnecessary invasive surgeries in non-neoplastic and benign breast diseases.

2021 ◽  
Vol 7 (4) ◽  
pp. 176-180
Author(s):  
Dr. Manika Alexander ◽  
◽  
Dr. Mallikarjun. A. Pattanashetti ◽  

Background: Benign breast disease is one of the most common breast lesions in the reproductiveage group. Fine needle aspiration cytology (FNAC) is one of the preliminary tests done to detectbreast lesions which help in early detection and management. Studying the cytology features ofvarious benign breast diseases was the aim of this study. Methods: This study is a cross-sectionalretrospective study conducted in the Department of Pathology from 2015 to 2020. Clinical detailsand cytology features were collected from the Department records. Results: A total of 430 caseswere collected during the study period. Age groups ranged from 16-40 years. All the cases werefemales. The spectrum of lesions was composed of fibroadenoma, fibrocystic change, breastabscess, fibroadenosis, granulomatous mastitis, etc. Conclusions: Breast lumps are a commoncause of anxiety and apprehension among patients. FNAC helps in rapid diagnosis and earlymanagement of lesions. It also helps in preventing unnecessary invasive surgeries in non-neoplasticand benign breast diseases.


2013 ◽  
Vol 11 (1) ◽  
pp. 33-37
Author(s):  
Rajani Giri ◽  
R Bhandari ◽  
I Mahato ◽  
M Poudel ◽  
S Kumari ◽  
...  

Background: Breast problems are common among female patient attending general outpatient. Although the problem is expected to have significant morbidity, patients usually hide or present late for breast related problems in Nepal. Objective: To measure the pattern of breast diseases and its frequency and distribution in different age groups among patients attending general outpatient department at BPKIHS, Nepal. Methods: A crosssectional study was conducted in general outpatient department (GOPD) of B.P.Koirala Institute of Health Sciences (BPKIHS) during a period of six months. Women of all age groups presenting with breast problem were included. Clinical assessment, fine needle aspiration cytology (FNAC) and radiology were done. Mammography being unavailable at the hospital, ultrasonography was the preferred method of imaging. Results: Hundred cases of breast diseases were assessed. The benign breast disease (BBD) was the commonest finding (96%). Among BBD, fibroadenoma was the commonest (32%) followed by breast abscess (26%) and mastalgia (22%) including cyclic and non cyclic. The common age groups of involvement were 30-39 years for fibroadenoma, 20-29 years for breast abscess, 30-39 years for cyclic mastalgia, 40- 49 years for non cyclic mastalgia and 70-79 years for breast cancer. Conclusion: BBD is the most common breast problem in women. Among BBD, fibroadenoma was the most common. Health Renaissance, January-April 2013; Vol. 11 No.1; 33-37 DOI: http://dx.doi.org/10.3126/hren.v11i1.7599


2021 ◽  
pp. 63-64
Author(s):  
Anurag Khare ◽  
Raj Awasthi

Background: Benign breast diseases constitute a heterogeneous group of disorders including developmental abnormality, epithelial and stromal proliferation, inammatory lesions and neoplasm. Benign breast lesions deserve attention because of their high prevalence, their impact on women's life and due to cancerous potential of some histological types. Treatment of BBDS is preservation of breast tissue as far as possible in contrast to traumatizing mutilating surgeries in breast cancers. Objectives:To study pattern and presentation of benign breast lesions over a period of 1 year in a tertiary care hospital of Lucknow, Uttar Pradesh. Material and Methods: This study of 180 cases of histologically diagnosed benign breast lesions was carried out in the Department of Pathology, at tertiary care teaching hospital with attached peripheral hospitals in a metropolitan city of western India from August 2018 to July 2019. Results: Out of 180 benign lesions, 175 (97.2%) were found in females and 05 (2.8%) were found in males. Commonest benign breast lesion was broadenoma (86.1%), followed by brocystic disease (2.2%) and gynaecomastia (2.8%). Conclusion: Fibroadenoma is the most common benign breast disease. Most of the patients presented with painless lump in the breast in upper outer quadrant of the breast. Histopathology plays an important role in the diagnosis of benign breast diseases.


2018 ◽  
Vol 16 (1) ◽  
pp. 27-31
Author(s):  
Nazmun Nahar ◽  
Mohammed Iqbal ◽  
Kazi Md Shahidur Rahman ◽  
Sabrina Razzaque ◽  
Farida Yeasmin ◽  
...  

Background: Benign breast diseases are the most common cause of breast problems. The most common symptoms are breast pain, lumpiness or a lump and nipple discharge. Triple assessment that includes clinical examination, imaging like ultrasonography (USG) or mammography and a pathological examination – FNAC or core needle biopsy has a very high accuracy rate in diagnosing, discrete benign breast diseases and this can be used for reassurance.Objective: The purpose of the present study was to determine the frequency of different types of benign neoplasm of breast lump in different age and sex.Methodology: The present study was carried out at the Department of Pathology, Chittagong Medical College, Bangladesh one year period from May 2005 to June 2006. This study was cross sectional which included 48 cases of breast neoplasm. The specimens were received from indoor patient Department of Surgery, Chittagong Medical College, Bangladesh. Histopathological examination was done.Results: This study shows the mean age of the patients was 32.91 years with age range 11 to 70 years. Most of the patients were in 31 to 50 years (45.8%) age group and female predominance than male. Fibroadenoma accounted for 76.2%. Sclerosing adenosine the second most common benign breast disease in this study accounted for 9.5% of cases.Conclusion: This study showed that among the benign breast diseases in females there were preponderance of fibroadenoma followed by sclerosing adenosineJournal of Science Foundation 2018;16(1):27-31


2021 ◽  
Vol 7 (4) ◽  
pp. 181-187
Author(s):  
Dr. Mallikarjun. A. Pattanashetti ◽  
◽  
Dr. Manika Alexander ◽  

Background: Fine needle aspiration cytology (FNAC) is one of the preliminary tests done to detectmalignant breast lesions, which help in early detection and management. Studying the cytologyfeatures of various malignant breast diseases was the aim of this study. Methods: This study is across-sectional retrospective study conducted in the Department of Pathology from 2015 to 2020.Clinical details and cytology features were collected from the Department records. Results: A totalof 75 cases were collected during the study period. All the cases were females. The spectrum oflesions was composed of Ductal carcinoma followed by one point each of Mucinous carcinoma,Malignant Phyllodes tumour and Lobular Carcinoma. Conclusions: FNAC helps in rapid diagnosisand early management of malignant breast lesions.


2019 ◽  
Vol 6 (7) ◽  
pp. 2428
Author(s):  
Satyajit Samal ◽  
Phanindra Kumar Swain ◽  
Siddharth Pattanayak

Background: Study of pattern of benign breast disease is a challenge due to variants in occurrence and presentation in different age groups and different geographical areas. The objective was to study the pattern of benign breast diseases and its clinical, pathological and radiological correlation.Methods: This is a prospective study of females with benign breast diseases presenting to surgery department. This work was done for studying the age distribution, to evaluate the different types of benign diseases of the breast, their mode of clinical presentation, pathology, to evaluate the accuracy of different modes of triple assessment and various modes of management for different types of Benign Breast Diseases. Patients with obvious malignancy and males were excluded from the study.Results: A total of 200 females were included in the study. Fibroadenoma (55%) was the commonest diseases with presenting mostly at 20-24years of age. Clinical examination had accuracy of 88%, USG had accuracy of 77.3%, FNAC had 93% and mammography had 83.33% accuracy foe diagnosing benign breast diseases.Conclusions: Benign breast diseases are common problems of 2nd and 3rd decade in females and raises considerable fear of malignancy. The patients of BBDs generally present with one or more of these complaints-breast lump, breast pain or nipple discharge. All the patients with discrete breast lumps should undergo a triple assessment to make an early diagnosis.


Author(s):  
Manish R. Malani

Background and Aim: Benign Breast Diseases (BBDs) is a group of non-cancerous breast diseases. A triple assessment which is done by a clinical examination, imaging like ultrasonography (USG) or mammography and a pathological examination – FNAC or core needle biopsy, during the initial consultation, allows clinicians to give immediate reassurance to most of the patients. The aim of the study was to find out the proportions of various benign breast lesions among women aged 18 years and above. Material and Methods: A prospective study was conducted in the Department of Surgery, Tertiary care institute of India for a period of 20 Months. Based on the pilot study sample size derived was found to be 102. A performa was filled with patient particulars, history and clinical findings in female patient attending department of surgery OPD with breast related symptoms. Patients will be followed up with histopathological, cytological and radiological studies in indicated cases. The patients will be followed up for 1 year. Most common benign breast related symptoms and condition among the study group and probable risk factors for the same will be analyzed. Results:The commonest case among the study population was fibroadenoma 37 (36.27%). The next common was acute breast abscess, followed by fibrocystic disease (9). Lump alone detected either by patient herself or by the clinician was the most common presenting complaint in around 40 patients, followed by lump with pain in around 37, followed by either pain, nipple discharge. Fibroadenoma could be diagnosed clinically with an accuracy of about 89%. Abscess breast, phyllodes tumor and galactocele and few cases of granulomatous mastitis was also able to be diagnosed clinically. Conclusion: Fibrocystic disease is commonest amongst proliferative breast lesions followed by Sclerosing adenosis. Breast abscess is the commonest lesion amongst inflammatory breast lesions. Breast self-examination and health education to females is very important in cases of benign proliferative lesions. Key Words: Benign Breast Diseases, Fibroadenoma, Phyllodes tumor, Ultrasonography


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037513
Author(s):  
Ramin Saadaat ◽  
Jamshid Abdul-Ghafar ◽  
Ahmed Maseh Haidary ◽  
Soma Rahmani ◽  
Nooria Atta

ObjectivesIn Afghanistan, breast diseases are a common reason for women to visit hospitals. This is the first study in Afghanistan aimed to describe the age distribution and types of breast diseases among patients diagnosed by fine needle aspiration cytology.DesignDescriptive cross-sectional study.SettingFrench Medical Institute for Mothers and Children, Kabul, Afghanistan.ParticipantsThe study included 650 patients with breast lesions between 1 April 2015 and 1 April 2019.ResultsThe mean age of diagnosis was 35.38 (SD ±13.11) years, ranging from 15 to 75 years. The most common diagnosis was cancer (24% of all cases). The second most common diagnosed lesion was fibroadenoma, constituting 22.4%, and the third most common lesion was fibrocystic changes, with 15.4% of cases. Inflammatory conditions were diagnosed in 9.7% of cases, granulomatous inflammation in 9.1%, lesions only suspicious for malignancy in 5.5%, lipoma in 2.8% and miscellaneous benign lesions in 11.1%. Cancer was diagnosed at the youngest age of 20 years. Cancer was more common on the left side (62%), and only one case (0.9%) was bilateral.ConclusionOur study showed that cancer was the most commonly diagnosed lesion and was reported at younger ages too. This suggests that physicians should not ignore any breast lump in younger patients and that the possibility of cancer must be considered. Further country-wide studies are suggested to assess breast cancer and associated risk factors.


2020 ◽  
Vol 8 (1) ◽  
pp. 63
Author(s):  
Mufsil Parappurath ◽  
Samadarsi Raghavan ◽  
Jayasankar Vikraman Nair ◽  
Sunandha Kumari Lawrence Thulasibhai

Background: Benign breast conditions are associated with morbidity and great concern for the patient and are 4-5 times more common than breast cancer. Benign breast diseases are the most common cause of breast problems in females and it is more frequent than malignant ones up to 30% of women will suffer from a benign breast disease requiring one or other sort of treatment at some part of their lives. Objectives were to find out the proportions of various benign breast lesions among women aged 18 yrs and above.  Methods: A prospective study was conducted in the Department of Surgery, Shree Gokulam Medical College, Thiruvananthapuram for a period of 18 Months from January 2016 to June 2017. A total of 180 study subjects were included in the study. All the women aged more than 18 yrs. old attending the surgery OPD with palpable or immunologically detected breast lesions will be consecutively selected for the study. Results: The commonest case among the study population was fibroadenoma 56 (31.1%). There were 9 cases of duct ectasia, 8 duct papilloma’s. Fibroadenoma could be diagnosed clinically with an accuracy of about 88% (56 cases) out of total 69 cases.Conclusions: In short, a comprehensive clinical history and a triple assessment would suffice the tool for effective diagnosis of Benign breast diseases within 72 hrs. With correct radiological and cytological assement unnecessary morbidity associated with surgeries can be avoided in some patients.  


Author(s):  
Kanpurwala Shaheen Hatim ◽  
Narayankar Shilpa Laxmikant ◽  
Tosif Mulla

Background: Benign breast diseases constitute a heterogeneous group of disorders including developmental abnormality, epithelial and stromal proliferation, inflammatory lesions and neoplasm. Benign breast lesions deserve attention because of their high prevalence, their impact on women’s life and due to cancerous potential of some histological types. Treatment of BBDS is preservation of breast tissue as far as possible in contrast to traumatizing mutilating surgeries in breast cancers.Methods: This study of 210 cases of histologically diagnosed benign breast lesions was carried out in the Department of Pathology, at tertiary care teaching hospital with attached peripheral hospitals in a metropolitan city of western India from August 2014 to August 2016.Results: Out of 210 benign lesions, 201 (95.7%) were found in females and 9 (4.3%) were found in males. Commonest benign breast lesion was fibroadenoma (77.62%), followed by fibrocystic disease (4.3%) and gynaecomastia (4.3%).Conclusions: Fibroadenoma is the most common benign breast disease. Most of the patients presented with painless lump in the breast in upper outer quadrant of the breast. Histopathology plays an important role in the diagnosis of benign breast diseases.


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