scholarly journals Descriptive study of breast problems in women who present to the general outpatient of a tertiary hospital in eastern region of Nepal

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 ◽  
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.


2014 ◽  
Vol 8 (2) ◽  
pp. 56-58
Author(s):  
ABM Zafar Sadik ◽  
Md Mahmudul Hasan ◽  
Nur-E-Zannat Afroza Haque ◽  
Farid Uddin Ahmed ◽  
Md Zahidul Kabir

This prospective observational study was carried out in the inpatient and outpatient department of surgery at Shaheed Ziaur Rahman Medical College Hospital, Bogra, during the period of 01.07.2008 to 31.12.2008 with a view to find out the incidence of breast carcinoma, fibroadenoma or other pathology in different age group. A total 130 patients with palpable breast lump were included in the study. Age of the patients was between 11 to 70 years. In most of the patients with breast lump Fine Needle Aspiration Cytology and biopsy were done. Sometimes ultrasonography, mammography and other routine investigations were also done. Among the study population 53.85% had benign lesions, Breast carcinoma accounted for 46.15% cases, fibroadenoma for 40.76% and fibroadenosis were in 10% cases. Fibroadenoma was common in second and third decade, while carcinoma of breast was common in third and fourth decade in this study. Here we attempted to find out the age incidence of breast lump and its correlation with clinical features, FNAC findings and histopathological report to improve the accuracy of diagnosis and management of breast disease. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20369 Faridpur Med. Coll. J. 2013;8(2): 56-58


1970 ◽  
Vol 10 (2) ◽  
pp. 77-81
Author(s):  
Riaz Ahmed Chowdhury ◽  
Syed Khalid Hasan ◽  
Jafar Md Masud

A prospective type of analytical study was carried out on 106 patients with breast pain to analyze the causes of breast pain. This study was conducted from August, 2002 to January 2004 at breast clinic of Bangladesh Medical College Hospital (BMCH) and at Department of Surgery of BMCH. Sampling was done purposively and a structured questionnaire was used for data collection by interviewing followed by examining the patient in the first phase. In the second phase, Mammography and FNAC (Fine Needle Aspiration Cytology) was done. Majority of the patients (35.8%) were in the age group of 21- 30 years and the mean age was 27.61± SD10.5 years. About 48.1% breast pains were due to ANDI (Aberration of Normal Development and Involution) and among the other causes nonspecific pain 15.1%, breast abscess 14.2% and carcinoma of breast were only 1.9%. The performance status of all the patients were in between 0- 1. Mammography was done in 54 patients and of them 44 was found positive for fibrocystic disease (41 cases) and fibroadenoma (3 cases). FNAC was done in 50 patients and 36 were found positive with fibroadenoma (22 cases), fibrocystic change (8 cases), chronic breast abscess (2 cases), mitotic lesion (2 cases), and neurofibroma (2 cases). So painful breast diseases are helpful in seeking further medical care for appropriate intervention Keyword: Breast pain, Mastalgia, ANDI.   doi: 10.3329/jom.v10i2.2818 J MEDICINE 2009; 10 : 77-81


2018 ◽  
Vol 5 (2) ◽  
pp. 40-44
Author(s):  
Prakash Sharma ◽  
Elina Shrestha ◽  
Prabhat Kumar Tiwari

INTRODUCTION: Breast masses are frequently encountered problem, especially in females. Mammography and ultrasound are considered the standard imaging techniques for detection and evaluation of breast disease. The study was done to discuss the role of mammography and ultrasound in evaluation of breast mases with cytological correlation and to compare the sensitivity, specificity, positive predictive value and negative predictive value of ultrasonography6 with mammography in breast masses in different age groups and in patients with different breast density.MATERIALS AND METHODS: It was a non randomized prospective study carried out in Manipal teaching hospital Pokhara. The data for study was collected from patients with breast lump who attended the department of Radiology during the period from October 2013 to October 2014. Mammography and ultrasonography were performed on all cases presented with breast lump. A Fine needle aspiration cytology correlation was then performed with formed the basis for definitive judgement.RESULTS: The study analyzed 50 total numbers of patients presented to Radiology department who had breast lumps. Patients were aged between 20 and 75 years. Maximum numbe3r of patients were between 40 and 49 yrs constituting 40%. The mean age was 39.8 years ± 12.85 yrs. Ultrasound was significantly more sensitive than mammography in age less than 40 years. Mammogram had a significantly higher sensitivity than ultrasound in age group of more than 40 yrs. By using combined modalities (ultrasonography combined with mammogram), all benign cases were diagnosed correctly. For malignant breast masses, 10% were diagnosed as false negative but no cases were diagnosed false positive by combined modalities. Ultrasound was more sensitive than mammography in dense and heterogeneously dense breast whereas mammography was more sensitive than ultrasound in predominantly fatty breast.CONCLUSION: Combination of ultrasound and mammogram is more sensitive than other modality alone.Journal of Universal College of Medical Sciences, Vol. 5, No. 2, 2017, Page: 40-44


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 8 (03) ◽  
pp. 168-171
Author(s):  
Ajay Chanakya V ◽  
Sreekanth Kotagiri ◽  
Gogineni Tarun Chowdary ◽  
Sriram K.V.V.S.D. ◽  
Ch. Vasu Reddy ◽  
...  

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. KEYWORDS Breast, Participants, Study, Age


2020 ◽  
Vol 74 (5) ◽  
pp. 1-6
Author(s):  
Krzysztof Piwowarczyk ◽  
Ewelina Bartkowiak ◽  
Hanna Klimza ◽  
Grażyna Greczka ◽  
Małgorzata Wierzbicka

<b>Introduction:</b> A Polish National Major Salivary Gland Benign Tumors Registry (SGR) is a report of benign salivary gland neoplasms (SGNs) from 26 different centres in Poland, introduced in 2014. The aim of this study is to analyze demographic characteristics and clinico-pathological factors of benign SGNs treated in large tertiary institutions and to determine possible correlations between selected variables. <br><b>Material and method:</b> Analysis of 585 patients recorded in SGR and operated on for SGNs in the Department of Otolaryngology and Laryngological Surgery, University of Medical Sciences, Poznań, Poland, over a 5-year period. Patient age, sex, occupation, place of residence, tumor location, size, histology, recurrence, facial nerve function after surgery, wound healing, surgery procedure, availability of pre-operative imaging examinations, fine-needle aspiration cytology (FNAC) results were analyzed. <br><b>Results:</b> 338 females and 247 males with a mean age of 53 years were operated on. In total, 96.2% of tumors originated from the parotid and 3.8% from the submandibular gland. The most frequent primary tumor diameter was 2–4 cm (59.5%) followed by <2 cm (29.2%) and >4 cm (8.4%). Tumors of over 4 cm were frequently removed by partial superficial parotidectomy, while those under 2 cm – by extracapsullar dissection (ECD). Pleomorphic adenomas (PA) were predominant (58.8%), followed by Warthin’s tumor (WT) – 37.1%. Patients with WT were on average 13.3 years older than patients with PA. <br><b>Discussion:</b> This research can be helpful to better understand the clinico-pathological features of SGNs. Long-termin hospital-based analysis is important for subsequent metaanalyses and comparisons with other centers. The reasons why not all patients’ data are reported to the national SGR should be further precisely analyzed.


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