Saudi Journal of Pathology and Microbiology (SJPM)
Volume-4 | Issue-11 | 861-867
Original Research Article
Spectrum of Benign Breast Lesions in Females of Age Group 11-60 Years - A Hospital Based Study
Bhakti Dubey, Farah Jalaly Meenai
Published : Nov. 30, 2019
Abstract
Objectives: To find the prevalence & clinical profile of various benign breast lesions in females presenting with breast lump and to establish its cytohistologic correlation. Methods: A prospective study was conducted in the Department of Pathology, Chirayu Medical College and Hospital, Bhopal [M.P]. A total of 203 patients were diagnosed with benign breast lesions both by Fine Needle Aspiration Cytology and Hisopathology over a period of twenty four months. Data including age, complaints and clinical examination was collected from patients presented for FNAC in Cytology Department with Breast complains. Result: Benign breast lesions are more common in younger age group. Of 203 cases 47.3% belongs to 3rd decade of life (Age 21-30yrs) followed by 31% from 4th decade (31-40). The commonest mode of presentation was Lump in breast in 55.7% cases. The spectrum of lesions were Fibroadenoma 54.2% (n=110), Fibrocystic disease 14.3% (n=29), Fibroadenoma with atypia 3.9% (n=8), Granulomatous mastitis 3.4% (n=7), Breast abscess 4.9% (n=10), Galactocele 2.0% (n=4) and Acute mastitis 3.0% (n=6), Papillary lesion 3.4% (n=7), Phyllodes 2.0% (n=4), Duct ectasia 1% (n=2), Fat necrosis 0.5 % (n=1). Histology was available for 117 cases. No discrepancy was noted. Conclusion: It is essential to diagnose the Breast lesions at the earliest for appropriate management. Diagnosis by FNAC is safe, easy, accurate and economical procedure with easy repeatability, yielding quick results and reducing the need for open biopsies in the reproductive age group. Confirmation of diagnosis by Clinical Examination, FNAC and Histopathology is an important part of diagnostic workup.