Study of spectrum and clinical profile of benign breast disease in the rural area: an observational study

Abstract

Background: Recent understanding of pathophysiology and health awareness may have impact on spectrum of benign breast disease (BBD) in rural area. We have analyzed clinical data of 200 cases of BBD for spectrum and clinical profile to compare with present studies.Materials and Methods: This was a clinical study conducted at Department of General Surgery at Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India. which is located in rural area. This study was done during  from April 2015 to March 2016. Patients presented with different breast related problems like lump in breast, nipple discharge, associated fever and mastalgia were admitted in surgical ward for evaluation.Results: A total of 200 females were included in the study. Fibroadenoma 79(39.5%) and fibroadenosis 49(24.5%) were the commonest diseases, both presenting mostly at 20-30years of age. Left side involvement was most common. The commonest presentation was breast lump which comprised (82%) cases, patients with breast lump 82%, patients with breast pain 36.5% and patients with nipple discharge 3.5%. Conclusion: Benign breast diseases are common problems of 2^nd and 3^rd decade in females and raises considerable fear of malignancy. The patients of BBDs generally present with one or more of these complaints – breast lump, breast pain or nipple discharge. All the patients with discrete breast lumps should undergo a triple assessment to make an early diagnosis.

Key words: Benign breast diseases, Fibroadenoma, Fibrocystic disease, Mastitis.