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Year : 2017  |  Volume : 7  |  Issue : 3  |  Page : 89-94

Clinical, radiological, and histopathological findings of benign breast diseases: A comparative study

Department of General Surgery, SVS Medical College, Mahabubnagar, Telangana, India

Correspondence Address:
Dr. Korumilli R Kumar
Plot No-70, Gruha Laxmi Colony, Old Kakaguda, Secunderabad - 500 015, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_47_16

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Background: Breast lesions are more prevalent in the present population. Eighty percent (80%) of lesions are benign. No clinical examination or investigation is accurate in the detection of benign breast disease (BBD). Accuracy of diagnosis increases when clinical examination, ultrasonography (USG) breast, and fine-needle aspiration cytology (FNAC)/histopathological examination (HPE) are combined. The objective of this study was to compare the role of clinical examination, USG/mammography, and HPE study in the diagnosis of BBDs. Patients and Methods: Consecutive female patients presented with breast diseases to the Department of Surgery, SVS Medical College and Hospital, Mahabubnagar, Telangana, India, between October 2013 and September 2015. Detailed history of the patient was noted to find out the reasonable risk factor. Clinical examination was done followed by USG/mammography of the breast and FNAC/HPE. Results: On analysis of our study, it was found that the incidence of benign breast lumps was found to be more in the age group of 21–30 years. One hundred and twenty cases were studied, of which 99 cases (82.5%) complained of lump in the breast. This was closely followed by pain (9 cases, 7.5%) and discharge from nipple (5 cases, 4.2%). Most of the lumps (65.8%) were <3 cm. Fibroadenomas cases (63.3%) were the commonest. Left-sided lesions were more (59 cases, 49.7%). Most of the lesions were solitary (113 cases, 94.17%). FNAC/HPE was done in all the cases and was diagnostic. USG could clearly suggest if the lesion was cystic or solid but further typing of the lesion had limitations, even though fibroadenoma would be diagnosed accurately. Conclusion: The accuracy of BBD diagnosis increases when all the three modes, i.e. clinical examination, imaging, and FNAC/HPE are employed. Triple assessment may avoid many unnecessary surgeries for benign lesion.

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