Benign Breast Disease

2017 ◽  
Author(s):  
Stephanie A Valente ◽  
Stephen R Grobmyer

Benign breast disease constitutes any abnormality that upon further workup is found to be noncancerous and does not establish premalignant potential. Benign breast diseases can present in various ways, such as breast pain, a palpable breast lump, nipple discharge, or an imaging abnormality. Appropriate workup is essential to ensure that the new change is benign. This may entail additional imaging, biopsy, or surgery if necessary. Surgeons need to be able to recognize the presentation, appropriate workup, and treatment recommendations for the various benign breast diseases. This review addresses the broad range of benign breast lesions and their management recommendations.  This review contains 7 figures, 5 tables and 54 references Key words: benign breast disease, breast cyst, breast mass, breast pain, idiopathic granulomatous mastitis, nipple discharge, papilloma, periductal mastitis, sclerosing adenosis

2017 ◽  
Author(s):  
Stephanie A Valente ◽  
Stephen R Grobmyer

Benign breast disease constitutes any abnormality that upon further workup is found to be noncancerous and does not establish premalignant potential. Benign breast diseases can present in various ways, such as breast pain, a palpable breast lump, nipple discharge, or an imaging abnormality. Appropriate workup is essential to ensure that the new change is benign. This may entail additional imaging, biopsy, or surgery if necessary. Surgeons need to be able to recognize the presentation, appropriate workup, and treatment recommendations for the various benign breast diseases. This review addresses the broad range of benign breast lesions and their management recommendations.  This review contains 7 figures, 5 tables and 54 references Key words: benign breast disease, breast cyst, breast mass, breast pain, idiopathic granulomatous mastitis, nipple discharge, papilloma, periductal mastitis, sclerosing adenosis


2018 ◽  
Vol 9 (1) ◽  
pp. 10-12
Author(s):  
Shakera Ahmed ◽  
Sami Ahmad ◽  
Nadim Ahmed ◽  
Nur Mohommad Sayed Bin Aziz

Objective: To determine the frequency of various breast diseases in female patients.Methodology: This is a prospective (historical)cohort study of female patients from 18 to 55 years of age visiting a female surgeon with breast problems. The study was conducted at Chittagong Metropoliton Hospital and CSCR Hospital in Chittagong over a period of 10 years starting from July 2007 to June 2017. All female patients visiting with breast problems were included in the study, excluding the patients of below 18 years and above 55 years. The findings were tabulated in excel sheet and analyzed for the frequency of each lesion.Results: A total of 3555 patients were included in the study. Benign breast disease (BBD) was much more common than the malignant breast disease which was 3.49% (124/3555) of all breast diseases. Fibroadenoma was the most common benign breast disease, seen in 32.26%(1147/3555) of patients followed by mastalgia, seen in 24.22%(861) patients. The next common breast disease is fibrocystic change in 18.80%(668/3555) patients.Conclusion: Breast diseases, both benign and malignant are the common problems of female. But benign breast diseases are much more common than the malignant diseases. Fibroadenoma is the commonest of all benign breast diseases in our set up. Mastalgia and fibrocystic changes are the next two common diseases.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 10-12


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


2017 ◽  
Vol 4 (10) ◽  
pp. 3317
Author(s):  
Anand Kumar Jaiswal ◽  
Rakesh Saxena ◽  
Shesh Kumar

Background: Benign breast disease can be defined to include all those breast diseases which are not malignant. The diagnostic dilemma is for the disease like atypical ductal hyperplasia, mammary intra epithelial neoplasia, ductal carcinoma in situ and lobular carcinoma in situ.Methods: An epidemiological study of 78 patients of benign breast diseases who attend the surgery OPD or admitted as indoor patients in the department of general surgery, B.R.D. Medical College Gorakhpur during a period of one year.Results: Benign breast diseases were most common in third decade (51.28%) following fourth decade (23.07%) of life. Most of the patients belongs to middle (37.1%) and higher (32.5%) socioeconomic status. Fibroadenosis (34.61%) was found to be commonest lesion followed by fibroadenoma (26.92%) and mastitis (24.35%).Conclusions: In our study of benign breast disease, breast pain was the commonest presenting symptom (64.01%) followed by lump in the breast (42.3%). The final diagnosis of benign breast lesion in descending order was fibroadenosis (34.6%), fibroadenoma (26.9%), mastitis (24.4%), duct ectasia (3.8%) and dermatitis of nipple, gynaecomastia 2.56% each. Only one case each (1.2%) of cystosarcoma phyllode, duct papilloma, tuberculosis and galactocele was seen.


2016 ◽  
Vol 4 (1) ◽  
pp. 339 ◽  
Author(s):  
S. Selvakumaran ◽  
Mimamaychet B. Sangma

Background:Benign breast disorders can be defined as any non-malignant breast condition and encompasses a wide range of clinical and pathological disorders. BBD are very common and 1/3rd of women are suffering from this disorder in one time of their life. The aim of this study is to look at the patterns of benign breast diseases, the mode of presentation, management and to identify risk factors.Methods: This descriptive study was done in 168 patients presented to the surgery OPD department with benign breast disorders. All the patients with breast related disease were included in this study. Both male and female patients were included in this study. Patients with obvious or biopsy proven malignant diseases were excluded in this study.Results:The study comprised of 168 patients with BBD; the commonest being Fibroadenoma which formed 55.9% followed by fibroadenosis 20.8%. The other benign lesions observed were cystosarcoma phylloids, acute abscess, chronic abscess, tuberculous mastitis, antibioma, cysts, galactocele, gynaecomastia, traumatic fat necrosis, duct papilloma and mastalgia.Conclusions:Benign breast disease is a neglected entity despite the fact that it constitutes the majority of breast complaints. Benign breast disease can no longer be ignored. Much more work needs to be done to collect data about the incidence and prevalence of benign breast diseases. Breast self-examination and education to the females is required for early diagnosis and prompt treatment as majority of anxiety and worry of having breast cancer can be alleviated.


2016 ◽  
Vol 15 (08) ◽  
pp. 32-36
Author(s):  
Dr. Vijayalakshmi M ◽  
Dr. J Yadigiri Rao ◽  
Dr. T.Y. Shekar ◽  
Dr. Shobha Balakrishnan ◽  
Dr. Divya M ◽  
...  

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.


2017 ◽  
Vol 4 (8) ◽  
pp. 2700 ◽  
Author(s):  
Koorapati Ramesh ◽  
Kishan Bookya

Background: Benign breast diseases are common in females among young age group. Most common presentation is painless lump in the breast. Clinical and pathological correlation is essential. Fibroadenoma is the commonest among all other benign breast diseases. The aim was to study the age distribution of benign breast diseases. To study different types of benign breast diseases, their mode of clinical presentation and to correlate with radiological examination, cytology and histopathology of breast diseases.Methods: This was a prospective study conducted in the outpatient department of General Surgery in MGM hospital, Kakatiya Medical College, Warangal over a period of 2 years. A total of 250 patients diagnosed as benign breast diseases on clinical examination were studied and clinical findings were correlated with radiological, cytological and histopathological findings.Results: Patient age ranged 11 to 59 years. Majority of cases 150 (60%) were among 21-30 years. There were 98.8% female patients. Fibroadenomas were 57.6%, fibrocystic disease cases were 13.2%, breast abscesses were 1.6%, Intraductal papilloms 2.0%, simple cysts were 4.8%, Galactoceles 1.8%, Benign phyllodes were 3.6%, proliferative breast disease without atypia were 5.2% and gynaecomastia were 1.2% cases.Conclusions: Benign breast diseases are common among young females. Most of them present as painless mobile breast lump. Breast pain and nipple discharge are the other symptoms. Fibroadenoma is the commonest in our study, followed by fibrocystic changes Clinical diagnosis was correlated with cytology and histopathology.


Author(s):  
Abishek H. Karthik ◽  
Lisha Suraj

Granulomatous mastitis is a chronic inflammatory condition of the breast that is rarely described in literature. It mimics breast abscess on clinical presentation giving dilemma to the surgeon. The etiology can be infectious, autoimmune or idiopathic. The various modalities of treatment for idiopathic granulomatous mastitis includes drainage of abscess, antibiotics and corticosteroid therapy. This is a case series of ten cases of diagnosed with granulomatous mastitis treated in the period of 2 years from 2018 and 2019 in Department of General Surgery, MGM Hospital Navi Mumbai. The data of all the patients were collected from records. They were following at regular intervals in the outpatient department to assess recurrence. The mean age of the patients was 41 years (range 26–47 years). Six patients gave history of breast-feeding in the last 5 years, one was lactating at the time of presentation. One of the patients was treated empirically for Tuberculous mastitis for the opposite breast. Others had no history suggestive of tuberculosis or other connective tissue diseases, such as rheumatoid arthritis or sarcoidosis USG breast was performed in all cases. Hypoechoic abscess was seen in 5 cases. The time taken for complete resolution of the disease was ranging from 2 weeks to 2 months. All patients had an uneventful recovery and no recurrences reported till now. GM is a rare benign breast disease that is difficult to distinguish from other inflammatory breast diseases or cancer. The diagnosis of GM must be based on a multidisciplinary approach. Surgical management followed by antibiotics was found to be sufficient to treat the condition in our patients. Corticosteroids need not be administered in all cases of this benign breast disease.


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