Triple assessment in Diagnosis of Benign Breast Diseases: An Institutional Study

Abstract

Benign breast disease is the most common cause of breast problems in females and it is more frequent than the malignant ones. Benign breast disorders are usually seen in the reproductive period of life are largely thought to be hormone induced  and there is dramatic fall in the incidence after the menopause. Benign Breast lesions deserve attention because of high prevalence, their impact on patients life and due to cancerous potential of some high risk breast lesions. This study was aimed to evaluate the different types of benign breast diseases in females based on clinical, radiological and pathological findings and to assess the overall efficacy of the triple assessment in diagnosing the benign breast diseases .

This prospective study was conducted between February 2014 and  September 2015 at Shri ram murti smarak institute of medical sciences, Bareilly.

Results: A total  of 250 female patients of benign breast disease were studied. The mean age was 36 years and fibroadenoma was most common benign breast disease followed by fibrocystic disease. Breast lump was most common presentation.  Clinical breast examination had  senstivity of 90%, specificity of 98% and radiological breast examination had senstivity of 86.6% and specificity of 97.2%. FNAC is an excellent method for diagnosing breast lesions with a sensitivity ranging between 89% and 98% and specificity between 98% and 100%. When clinical, radiological and pathological  examinations were combined together, the diagnostic accuracy approached 100%.

Conclusion: Triple assessment by clinical , radiological and pathological examination  can be useful in the diagnosis of benign breast lesions.