Spectrum of Benign Breast Diseases on a Remote Indian Island

Abstract

BACKGROUNDLump in the breast has assumed increasing importance in recent years because of the public awareness of breast cancer. Benign lesions of breast are the most common lesions and constitute a heterogeneous group of disorders including developmental abnormality, epithelial and stromal proliferation, inflammatory lesions and neoplasm. Few benign proliferative lesions have been reported to be at increased risk for development of subsequent breast cancer.The aim of the study is to study the frequency of various benign breast diseases in the females. MATERIALS AND METHODSThis descriptive study of histopathologically diagnosed breast lesions was carried out in the Department of Pathology of a newlyestablished medical college from January 2016 to May 2017. . Fibroadenoma was the most common benign breast disease seen in 62.96% (51/81) of patients followed by fibrocystic disease in about 8.64% (7/81) patients. Bilateral gynaecomastia was the most common benign disease seen in all male patients. CONCLUSIONBenign breast diseases were more common than malignancies in our study. Fibroadenoma was the commonest of all benign breast diseases. Fibroadenoma was seen more commonly in second and third decade, while fibrocystic disease was seen in little older patients. BBD includes all non-malignant conditions of the breast, including benign tumours, trauma, mastalgia, mastitis and nipple discharge. Benign tumours include pathologic changes that do not increase a patient's risk for developing cancer, lesions that confer a slightly increased risk and lesions that are associated with up to 50% risk of developing breast cancer. 2 Hence, it is essential to recognise and study these lesions in detail. KEYWORDS Aims and Objectives-The aim of this study was to find the frequency of various benign breast diseases in females. The objective was to find the incidence of various benign breast lesions in different age groups. Other, Competing Interest: None. Submission 31-07-2017, Peer Review 27-08-2017, Acceptance 01-09-2017, Published 11-09-2017. Corresponding Author: Dr. Deshpande A.H., Professor and HOD, Department of Pathology, Andaman & Nicobar Islands Institute of Medical Sciences, Port-Blair-744101. E-mail: ahdesh@gmail.com DOI: 10.14260/jemds/2017/1137 Financial or MATERIALS AND METHODSThis descriptive study of 81 cases of histologically diagnosed benign breast lesions was carried out in the Department of Pathology, at newly-established teaching hospital on an Indian Island from January 2016 to May 2017. Since all cases were taken from record of Pathology Department, ethical consideration was not necessary. Male and female patients of all age group with biopsy-proven benign diseases of the breast were included in this study. Patients with biopsyproven malignant diseases and inadequate core biopsies were excluded from present study. The demographic characteristics of patients were presented in excel sheet and analysed for the frequency of each lesion and their distribution in various age group. RESULTSDuring s...