scholarly journals Spectrum of breast diseases in a rural himalayan region of Western Nepal: a hospital based study

2020 ◽  
Vol 10 (3) ◽  
pp. 95-97
Author(s):  
Harihar Devkota ◽  
Suryaman Menyangbo ◽  
Kapil Amgain

Background: Breast diseases, among the most common diseases in females occur in various pat­terns from benign to malignant. Their identification is crucial as some of the benign disorders pose threat to turn into malignancy. This study was aimed to determine the spectrum of breast diseases. Methods: This was a hospital based retrospective study among all the patients in General Surgery OPD of Karnali Academy of Health Sciences, Teaching Hospital, diagnosed with breast diseases during one year period from August 2019 to July 2020 AD. Data were extracted and entered in SPSS version 16 for further analysis. Results: Out of 110 cases, only 4 (3.96%) were male. Almost half 54 (49.09%) of the cases were in the age group of 21-30 years. Fibrocystic disease, Breast Abscess and fibroadenoma, and cracked nipple were 39 (35.45%), 38 (34.54%, 15 (13.63%) and 8 (7.28%) respectively. The benign diseases were seen mostly in the younger population while malignant breast diseases were seen in the older population. Mastalgia was mostly seen in the twenties (17.3%) and the thirties (10%) while Breast abscess was commonly encountered in the twenties (16.4%) and the teens (11.8%). The gynaecomastia were seen only in four males. Conclusions: Fibrocystic breast diseases, Mastitis with or without abscess, fibroadenoma and cracked nipples were the first four most common breast diseases in females. The younger popula­tion had predilection towards the benign diseases which occurred most frequently in the third decade while the malignant occurred in sixth and seventh decade.

2020 ◽  
Vol 23 (1) ◽  
pp. 10-12
Author(s):  
Nelema Jahan ◽  
Md. Mamunur Rahman ◽  
Mohammad Shahidul Alam ◽  
Md Saiful Islam

Background: A breast lump is the most common symptom associated with both benign and malignant breast diseases. Therefore, a distinction of benign from malignant lump is of importance for proper management. Though a definitive diagnosis is possible with imaging for all the lesions, histopathological study is proven essential for confirming the diagnosis. Objective: The objective of this study was to evaluate the role of USG and histopathological findings of different breast lump in diagnosis and their comparison. Methods: A prospective study was conducted over a period of one year from January 2017 to December 2017. A total of 116 patients were included in this study. All breast lumps underwent surgery and the ultrasound findings of these lumps were compared with the histopathological findings. Data were collected from these patients by a preformed questionnaire and finally the data were analyzed. Results: Out of 116 patients only 21 cases were reported as malignant in ultrasound report but histopathology revealed 31 malignant patients. On histopathological examination 10 benign cases turned out to be malignant. Conclusion: The present study was undertaken to evaluate in diagnosing breast mass lesions individually by ultrasound and compared with histopathology for definitive management of a patient. Journal of Surgical Sciences (2019) Vol. 23 (1) : 10-12


Author(s):  
Kamran Ali ◽  
Muhammad Hassan Abbas ◽  
Sadia Aslam ◽  
Muhammad Aslam ◽  
Khalid Javed Abid ◽  
...  

Objective: To determine the frequency of benign breast diseases in female patients in our setup. Design: Prospective descriptive study. Place and duration of study: The study was carried on female patients presenting at surgical out door of Sir Ganga Ram Hospital, Lahore during one year i.e. January 2001 to January 2002. Patients and methods: Two hundred female patients presenting with breast lumps at surgical out door of Sir Ganga Ram Hospital, Lahore during one year were studied. All the patients were examined clinically with special emphasis on breast, axilla and supra clavicular fossae. Basic laboratory investigations including blood complete examination, urine complete examination and chest X -ray were done for all the patients. Breast imaging and FNAC of lumps were also done. Final diagnosis was based upon histological examination of the tissues biopsied from the lump. After collecting data, written in proforma, window SPSS software was used to analyze the results. Results: This study shows a high f requency of fibroadenoma (45%) in Pakistani females. Fibrocystic disease is second in frequency and accounts for 36% patients.8% patients had intraductal papilloma and three percent suffered from duct ectasia.5% patients had other conditions related to breast including two patients presenting with pre histological diagnosis of fibrocystic disease who turned out to be malignant after histopathology. Most of the patients had age range of 20-29 years. Conclusion: Fibroadenoma is the commonest of all benign breast diseases in Pakistani women. Fibrocystic change is the second in this regard. Benign lesions of the breast can resemble its carcinoma on clinical examination.


2021 ◽  
Vol 8 (5) ◽  
pp. 1462
Author(s):  
Manish Chaudhary ◽  
Purvesh Bhat ◽  
Vedant Wankhede ◽  
Jigar Aagja ◽  
Dhaval Rathva ◽  
...  

Background: Benign breast diseases are a neglected entity in developing countries despite the fact that they involved in the majority of breast complaints. Benign breast disorders can be defined as any non-malignant breast condition and involved wide range of clinical and pathological disorders. Breast diseases present as swellings. It is a symptom/sign for a different lesion varying from developmental abnormality, inflammatory lesions, epithelial and stromal proliferation to malignancy. Patients were studied on the basis of i.e., clinically, and histopathological ultrasound has done. Our purpose of study is to document various benign Brest diseases to study different mode of presentations of diseases and correlation of clinical and pathological diagnosisMethods: The given study was a prospective and observational study, undertaken in the department of general surgery, govt. medical college Surat, during the study period of March 2018 to September 2019.All the female and male patients with breast related disease were included in this study. Female patients with biopsy proven malignancy were excluded from the study.Results: The study comprised of 50 patients with benign breast diseases; the most common is Fibro adenoma which formed 68% then fibrocystic diseases 20%. With most common age group involved in our study is 21-30 years.Conclusions: Benign breast diseases are more common but ignored entity though it carries majority of complaints and occur mainly in young women less than 30 years of age and were mostly fibro adenoma and fibrocystic change.


2021 ◽  
Vol 8 (1) ◽  
pp. 3-6
Author(s):  
Bidyut Chandra Debnath ◽  
Abanti Ghosh ◽  
Abul Kalam Chowdhury ◽  
Rana Jahangir ◽  
Ferdous Alam ◽  
...  

Background: Different pathology of breast is found among the women. Objective: The purpose of the present study was to see the profiles of breast disease among women seeking for treatment during Covid-19 pandemic at the OPD of medical university of Bangladesh. Methodology: This descriptive cross-sectional study was conducted in the Department of Surgery at Bangabandhu Shiekh Mujib Medical University, Dhaka, Bangladesh from 1 April to 31 October 2020 for a period of six months. All the women who were attended at the OPD of the Department of Surgery with the different complaints of breast at any age were selected as study population. The different disease profiles were recorded in the data sheet. Result: A total number of 1625 women were recruited for this study. The mean age with standard deviation of the study population was 36.4±12.54 years. Among 1492 women the most common breast complaints was mastalgia which was 492(29.9%) cases followed by fibrocystic disease, breast lump, fibroadenoma and carcinoma breast which was 296(18.0%) cases, 202(12.3%) cases, 141(8.6%) cases and 84(5.1%) cases respectively. Similarly duct ectasia, fibroadenoma, fibrocystic disease and lipoma were also most common among the less than or equal to 45 years age group of women which were 47(94.0%) cases, 137(97.2%) cases, 269(90.9%) cases and 75(51.4%) cases respectively. Conclusion: In conclusion breast lump and fibrocystic disease are the most common diseases among the women attending during covid19 era. Journal of Current and Advance Medical Research, January 2021;8(1):3-6


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


2013 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
S Islam ◽  
AKMA Morshed ◽  
SA Ali

Aim and objectives: The aim of this study was to evaluate the spectrum of breast diseases in the children and adolescents in a single hospital and to evaluate the presentation and outcome of these diseases. Methods: This prospective study of childhood and adolescents (2-19years) breast diseases conducted on 47 patients over a period from January 2009 to December 2011. A total of 47 (forty seven) children and adolescents (<19yrs) who complained of a breast lump or pain or nipple symptoms were included for the study. History, clinical examination along with breast ultrasound imaging and cytology and/ or biopsy in some cases was done for diagnosis. Patients were categorized according to their clinical properties and inflammatory, benign and malignant cases were done necessary operations. Other lesions was on medical treatment and under observation and follow-up. Results: The commonest complain was lump followed by pain. Most patients present in the age group 16-19 years (87%). The commonest breast lesion was fibroadenoma(36%). Most of them occur in 16-19 years age group (29.7%). Fibrocystic disease (8.4%) and breast abscess(8.4%) are next 2 common diseases. Diagnostic approach is mostly conservative with ultrasonogram. Few cases need FNAC and excision biopsy. Secondary malignancy may be a possible diagnosis. Awareness is essential for early diagnosis and treatment. DOI: http://dx.doi.org/10.3329/jpsb.v2i1.15157 Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (1): 12-16


2012 ◽  
Vol 10 (3) ◽  
pp. 170-174
Author(s):  
BP Shrestha ◽  
SR Niraula ◽  
GP Khanal ◽  
NK Karn ◽  
P Chaudhary ◽  
...  

Introduction: The prevalence of back pain is very high in the general population but little is known about the predictors of back pain in the general population. Though certain risk factors have been associated with back pain, these are mentioned in Western literature. It is not known how much of these hold true for a developing country like Nepal. Objective: To estimate the prevalence of back pain in the Teaching Districts of B.P.Koirala Institute of Health Sciences and to identify predictors of back pain in the community. Methods: Three hundred and fourteen persons of eighteen years and above were included in this crosssectional descriptive study conducted from January 2006 to December 2009 using pretested questionnaires. Results: The annual prevalence of back pain among males (67.9%) and females (74.3%) were similar (P>0.05) and the overall annual prevalence was 71%. The highest prevalence of back pain was found in the age group of 31-40 years. Age, marriage and occupation were related significantly to the occurrence of back pain. The total duration of back pain in one year was less than 15 days in 73%. The number of workdays lost was upto 5 in 81% of people with back pain. Conclusion: Back pain is a very common complaint among the adult population in the community. Population belonging to 31-50 age group, married status and farmers and labourers are more prone to have back pain. Gender, height and weight are not associated with back pain.DOI: http://dx.doi.org/10.3126/hren.v10i3.7130 Health Renaissance; September-December 2012; Vol 10 (No.3);170-174


1970 ◽  
Vol 9 (3) ◽  
pp. 152-156 ◽  
Author(s):  
BP Shrestha ◽  
S Niraula ◽  
GP Khanal ◽  
NK Karn ◽  
P Chaudhary ◽  
...  

Introduction: The prevalence of back pain is very high in the general population but little is known about the predictors of back pain in the general population. Though certain risk factors have been associated with back pain, these are mentioned in Western literature. It is not known how much of these hold true for a developing country like Nepal. Objective: To estimate the prevalence of back pain in the Teaching Districts of B.P.Koirala Institute of Health Sciences and to identify predictors of back pain in the community. Materials and Methods: Three hundred and fourteen persons of eighteen years and above were included in this cross-sectional descriptive study conducted from January 2006 to December 2009 using pretested questionnaires. Results: The annual prevalence of back pain among males (67.9%) and females (74.3%) were similar (P>0.05) and the overall annual prevalence was 71%. The highest prevalence of back pain was found in the age group of 31-40 years. Age, marriage and occupation were related significantly to the occurrence of back pain. The total duration of back pain in one year was less than 15 days in 73%. The number of workdays lost was upto 5 in 81% of people with back pain. Conclusion: Back pain is a very common complaint among the adult population in the community. Population belonging to 31-50 age group, married status and farmers and labourers are more prone to have back pain. Gender, height and weight are not associated with back pain. Keywords: back pain; predictors; community. DOI: http://dx.doi.org/10.3126/hren.v9i3.5582   HR 2011; 9(3): 152-156


Author(s):  
N.A. Thomson

In a four year grazing trial with dairy cows the application of 5000 kg lime/ ha (applied in two applications of 2500 kg/ha in winter of the first two years) significantly increased annual pasture production in two of the four years and dairy production in one year. In three of the four years lime significantly increased pasture growth over summer/autumn with concurrent increases in milk production. In the last year of the trial lime had little effect on pasture growth but a relatively large increase in milkfat production resulted. A higher incidence of grass staggers was recorded on the limed farmlets in spring for each of the four years. In the second spring immediately following the second application of lime significant depressions in both pasture and plasma magnesium levels were recorded. By the third spring differences in plasma magnesium levels were negligible but small depressions in herbage magnesium resulting from lime continued to the end of the trial. Lime significantly raised soil pH, Ca and Mg levels but had no effect on either soil K or P. As pH levels of the unlimed paddocks were low (5.2-5.4) in each autumn and soil moisture levels were increased by liming, these factors may suggest possible causes for the seasonality of the pasture response to lime


2019 ◽  
Vol 10 (2) ◽  
pp. 117-125
Author(s):  
Dana Kubíčková ◽  
◽  
Vladimír Nulíček ◽  

The aim of the research project solved at the University of Finance and administration is to construct a new bankruptcy model. The intention is to use data of the firms that have to cease their activities due to bankruptcy. The most common method for bankruptcy model construction is multivariate discriminant analyses (MDA). It allows to derive the indicators most sensitive to the future companies’ failure as a parts of the bankruptcy model. One of the assumptions for using the MDA method and reassuring the reliable results is the normal distribution and independence of the input data. The results of verification of this assumption as the third stage of the project are presented in this article. We have revealed that this assumption is met only in a few selected indicators. Better results were achieved in the indicators in the set of prosperous companies and one year prior the failure. The selected indicators intended for the bankruptcy model construction thus cannot be considered as suitable for using the MDA method.


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