The Current Scenario of Benign Breast Diseases in Rural India. A Clinicopathological Study

Tiwari, Pawan; Tiwari, Madhu

doi:10.14260/jemds/932

Cited by 10 publications

(22 citation statements)

References 8 publications

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“…In the present study, two mastitis cases (0.3%) were granulomatous and both were detected in non-menopausal women. These findings were in accordance with other previous studies (Tiwari and Tiwari;Aslam et al, 2013).…”

Section: Discussionsupporting

confidence: 94%

“…This lesion had mostly occurred within 20-30 years of age, with the mean age at occurrence being 27.9±7.5 years. This findings was in line with that of other studies (Tiwari and Tiwari;DAHRI et al, 2010). Furthermore, fibroadenoma was most prevalent before menopause, which is corresponding with the results of other studies indicating fibroadenoma as the most common breast mass in young women.…”

Section: Discussionsupporting

confidence: 94%

“…In general, fibrocystic changes are highly prevalent. The present study revealed a strong relationship between fibrocystic changes and women's menopausal status; such a way that these changes were more prevalent among the pre-menopausal women compared to the menopausal ones (Tiwari and Tiwari;Guray and Sahin, 2006). It should be noted that fibrocystic changes are lesions without hyperplasia which do not normally increase the risk of malignancies (Schnitt, 2003).…”

Section: Discussionsupporting

confidence: 51%

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Pathological Profile of Patients with Breast Diseases in Shiraz

Rezaianzadeh

Sepandi²,

Akrami³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Around 200,000 breast disorders are annually diagnosed all over the world. Fibrocystic changes are the most common breast disorder and fibroadenoma is the most prevalent benign breast tumor. The present study aimed to determine the spectrum, type and prevalence of breast masses in women referred to Shiraz University of Medical Sciences between 2004 and 2012 . Materials and Methods: A cross-sectional study was conducted on the diagnostic reports data. Results: A total of 640 samples were studied. Most 57.3% of masses were detected in the left breast, 65%, 28.2% and 6.1% of cases presenting with benign, malignant, and inflammatory lesions, respectively. Among all the samples the most prevalent diagnosis (37.7%) was fibroadenoma and fibrocystic lesions (17%). 174 samples (96% of the malignant cases) were invasive. 6.5% of the benign, and 37% of the malignant cases occurred in post menopause women and the differences were statistically significant. Among those with malignant tumors lymph nodes were involved in 25.6% of menopausal women and 44.2% of non-menopausal ones, and the difference was statistically significant. Conclusions: Regular clinical breast examination beside mammographic follow-ups, especially during menopause, should be carried out as a priority and a national organized program should be designed for screening breast disorders.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 51%

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Pathological Profile of Patients with Breast Diseases in Shiraz

Rezaianzadeh

Sepandi²,

Akrami³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…5,12 Tiwari P, also observed fibroadenoma as the predominant lesion in benign breast disease. 13 In this study, common presentation of fibroadenoma cases was lump in the breast (87.5%). Common presentation of fibrocystic disease was pain in the breast (57.5%).…”

Section: Discussionmentioning

confidence: 52%

Clinical and pathological correlation in benign breast diseases in women

Kapoor

Vaid

Kapoor

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Benign breast diseases are a common problem presenting in a day to day surgical practice. A combination of three tests i.e. clinical examination, radiological imaging and pathological examination is commonly used to accurately diagnose breast diseases. This study was aimed to know the clinico-pathological correlation in diagnosing benign breast diseases in women.Methods: A study of 30 female patients of benign breast disease was conducted by clinical examination and comparing its accuracy with the pathological findings.Results: The highest incidence of benign breast diseases was in the age group of 30-39 years (33.3%). The most common presenting symptom was lump (53.3%) in the breast. The most common quadrant involved was the upper outer quadrant (60%). Fibroadenoma (53.3%) was the most common lesion in this study. The clinical examination in cases of fibroadenoma had sensitivity and specificity of 87.5 % and 92.8% respectively. In cases of fibrocystic disease, clinical examination had sensitivity and specificity of 85.7 % and 91.3% respectively.Conclusions: Overall clinical breast examination had a sensitivity of 90% and specificity of 98% in this study. Hence, combination of all three diagnostic modalities i.e. clinical, radiological and pathological examination should be used. But in rural areas where radiological and pathological facilities are not available, clinical examination can also give us a fair amount of idea in diagnosing benign breast diseases.

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“…11 Shrestha et al 12 has also reported similar findings stating that tuberculous mastitis is common in females of reproductive age group and rare in males. In another Indian frequency report, Tiwari et al 13 reported 1.77% of tuberculous mastitis cases where 50% were in third decade of life.…”

Section: Discussionmentioning

confidence: 94%

Tuberculous Mastitis in Females of South Punjab: A Clinicopathological Analysis of Ten Years from Pakistan

Samad¹,

Bukhar²,

Sartaj³

et al. 2020

BIOMEDICA

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Background and Objective: Extrapulmonary tuberculosis occurring in breast is a rare disorder in West but is still present in developing nations where tuberculosis is endemic. Tuberculous Mastitis (TM) is difficult to diagnose as it has vague clinical symptoms and insufficient radiological findings. The objective of this study was to determine the frequency of tuberculous mastitis by accessible modalities for early diagnosis. Methods: After the Institutional Ethical Board approvals, Pathology laboratory archives and medical records of 5000 patients from Ibn-e-Sina Hospital Research Institute, Multan and Multi Test Laboratory, were retrieved from the year 2008 to 2018. A retrospective analysis of fine needle aspiration cytology (FNAC) results of patients who presented with breast lumps was carried out. The interpretation of cytological findings and Ziehl Neelsen stained smears was carried out by cytopathologists and microbiologists respectively. Mycobacterium DNA was detected using polymerase chain reaction (PCR) in selected cases. Results: Out of 5000 patients, tuberculosis was diagnosed in 264 (5.28%) cases on FNAC. Acid fast bacilli (AFB) positive smears were found in 79.5%patients while 20.45% cases were AFB negative. Among AFB negative smears, 38 cases were further analyzed by PCR, among which 32 (84.2%) cases showed PCR positive results for TM. An increased frequency of TM among all inflammatory breast lesions from 18% in 2008 to 47.19% in 2018 was observed. Conclusion:Tuberculous Mastitis is an uncommon form of extra-pulmonary tuberculosis. It has nonspecific clinical, radiological and varied histological findings that often mimic breast abscess or carcinoma. FNAC is essential to guide the patient to further tests including histochemistry and PCR that can be used as more sensitive and time effective detection modalities.

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The Current Scenario of Benign Breast Diseases in Rural India. A Clinicopathological Study

Cited by 10 publications

References 8 publications

Pathological Profile of Patients with Breast Diseases in Shiraz

Pathological Profile of Patients with Breast Diseases in Shiraz

Clinical and pathological correlation in benign breast diseases in women

Tuberculous Mastitis in Females of South Punjab: A Clinicopathological Analysis of Ten Years from Pakistan

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