Background: Breast cancer results from uncontrolled proliferation of malignant cells resulting appearance of a lump or a mass in the breast. Although many epidemiological risk factors have been identified, the cause of any individual breast cancer is most often unknowable. A women's reaction to any suspected disease of breast may include fear of disfigurement, loss of sexual attractiveness and death. Social and religious factors, unawareness of fatality of the disease, fear of infertility hinder early diagnosis & treatment. Early diagnosis is the key to increased survival. Objective: To find out clinical presentation for breast cancer. Study design: It is a prospective study of 50 carcinoma breast patients who palpable breast lump. It was conducted during the six months period. Data were collected pre-designed data collection sheet. Data were analysis statistical package for social science (SPSS) program. Result : Most of the malignant lesions are above the age of 40 years and peak incidence are between 41-50 years and most of patients under this study were in advanced stage-III (54%) and stage-IV (22%). Patients were presented as nipple discharge (20%), pain in the breast (26%), ulceration over the lump (14%), paeu'd orange (10%) skin fixation over the lump (18%), fixation to the chest wall (14%) nipple retraction (22%). Among the 50 patients there was only one male ca-breast patient (2%). Among the histopathological types infiltrating duct cell carcinoma (NST) were 41 (82%), ductal carcinoma in situ 6 (12%), lobular carcinoma invasive 2 (4%), lobular carcinoma in situ 1 (2%) and carcinoma involved in different quadrants were upper & outer 21 (42%), lower outer 5 (10%), upper and inner 12 (24%), lower and inner 4 (8%), central 7 (14%) and breast as a whole involvement was 1 (2%). About the involvement of carcinoma breast, left breast involvement were 52%, right breast 46% and bilateral involvement was 2%. Conclusion: This prospective study shows an alarming high incidence of carcinoma breast with palpable breast lump. The diversity of clinical presentation of breast lumps in different age group were observed is our hospital practice. This study gives an idea about the incidence of various types of lesions of breast in different age groups in our country.

Breast cancer is one of the common cancers in women that causes financial health burden and or death in Bangladesh. Economically we are slowly rising from low to middle income country, which is changing our women's lifestyle. Risk factors of breast cancer include lifestyle factors like- age at first childbirth, parity, using oral contraceptives, BMI; which are also changing in our women. This study will look at our current incidence and patient profile of breast cancer patient. This is a retrospective study done in BIRDEM General Hospital. One hundred patient presenting with breast lump during the period of September 2018 -May 2019 were selected by purposive sampling. In <30 years age group 2 (13.6%) patient had cancer, 41% at <40 years, 53% in 51-60 , 83% in 61-70 age group. Thirty four out of 100 breast lump patient were diagnosed with cancer. Eleven had early cancer, 20 had locally advanced cancer, 3 presented with metastasis. In our study risk factor assessment did not show significant increase risk of in patients who are having cancer compared to those having benign breast disease with similar risk factors. The big number of advance and metastatic breast cancers in our study indicates self-breast examination and breast cancer screening program is still inadequate. Further research is required to find out breast cancer biology and pathogenesis rather than blindly accusing urbanized life style. Faridpur Med. Coll. J. 2020;15(2): 65-68

Breast conservation surgery and radiation therapy to the breast has revolutionized the treatment of breast cancer over the last few decades. Surgical direction had seen a heightened interest in the performance of cosmetically superior partial and segmental resections in breast conservation as well as increased demand by patients for breast preservation. The broadening of approaches to delivery of breast irradiation from whole breast to accelerated partial breast has allowed more patients to opt for breast conservation and allowed for what appears to be comparable measurable outcomes in emerging data. As well, the addition of state-of-the-art chemotherapeutic and hormonal therapies has allowed improved outcomes of patients from both local regional recurrence and overall survival standpoints. This paper will provide an overview of BCS including patients selection, prerequisit, indications, contraindications, procedures, complications and follow up. Faridpur Med. Coll. J. Jan 2020;15(1): 34-37

Background: There is evidence that mesh repair for umbilical hernias results in fewer recurrences. Early and late complication rates of mesh repair are variable with different techniques of mesh repair. In recent years, several mesh device for the repair of small ventral hernias have been developed, but some reports have been published reporting some adverse outcomes like high recurrences or wound related complications encountered with those mesh devices. The purpose of this study was to evaluate the safety and efficacy of small umbilical hernia(<3cm) repair using self expanding dual mesh. Methods: In this study we used a composite self-expanding mesh with Polypropylene(PP) on one side and expanded polytetrafleuroethylene(ePTFE) on the other side. We introduced this technique in our department at BIRDEM General Hospital and IMC in March 2017 and collected patients data and outcome in an observational study of 25 consecutive patients matching our inclusion criteria until February 2019. In addition to the routine 1st week postoperative follow-up, We did a prospective follow-up at 1 month,6 month and 1 year which included a questionnaire, clinical examination and ultra sonogram after 12 months. Results: The study included 15 female and 10 male patients with age ranging from 25-62 years(Mean- 47) having 16 primary umbilical hernia and 9 umbilical port hernias. The size of gap was <3cm and all except 2 hernias were reducible. In all patients a self expanding dual mesh was used with a diameter of 8cm(18 patients) or 6.4(7 patients) cm. Early complications included superficial wound infection-1(4%), seroma-1(4%), serosanguinous discharge-1(4%) and ecchymosis-1(4%). No major wound problems were noted in 1 month or 6 month follow-up except 1 patient reporting hypertrophied scar. At 1st month follow up 21 patientswere pain free, after 6 month only 1 patient reported mild pain, after 1 year 100% patients were pain free. 24 out of 25 patients ie 96% were very satisfied with the result of their repair. There was no recurrence after one year. Conclusion: Umbilical and umbilical port hernia repair with Self expanding dual mesh is effective and is cosmetically very appreciated by patients as good as laparoscopic repair. Therefore, we recommend using these meshes only for umbilical and umbilical port hernias smaller than 3 cm. For larger or incisional hernias other techniques allowing the use of larger meshes is advocated. Journal of Surgical Sciences (2020) Vol. 24 (2) : 43-50