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Year :2017
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Month :
January-February
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Volume :
6
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Issue :
1
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Page :
SO10 - SO14
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Female Breast Lesions – A Five Year Study in a Tertiary Care Centre
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Correspondence Address :
Arunima Mukhopadhyay, Sukla Naskar, Ramprasad Dey, Keya Basu,
Dr. Arunima Mukhopadhyay,
836 Block-P, New Alipore, Kolkata-700053, India.
E-mail: ram_arunima@yahoo.co.in
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Introduction: Introduction: Breast lesions constitute one of the prominent surgical pathologies encountered in clinical practice. This study on breast lesions evaluates the current scenario in a tertiary care centre of Kolkata, West Bengal.
Aim: To report the clinical presentation, and estimate the incidence and relative distribution of different breast lesions from adolescence up to post menopausal age.
Materials and Methods: This was a prospective study carried out for five years from 2009-2014. Female patients aged between 15 and 75 years were included. Triple assessment was used for diagnosis. Surgical outpatient tickets, indoor documents, radiological and pathological reports were used for data collection and tabulating results.
Results: Out of 1050 lesions studied, 755(71.9%) were benign while 295(28.1%) were malignant. Majority (85.2%) of cases, clinically presented with a breast lump with or without other symptoms. The most common clinical presentation was painless breast lump (33.4%). In all 82.5% of benign lesions were aged between 15 and 45 years. The mean age of benign lesion was 29 years. The most common benign lesion was fibroadenoma (44.9%). The most common malignant lesion was invasive ductal carcinoma (Not otherwise specified) (84%). Most of malignant cases (47.5%) were aged between 46 and 60 years. The mean age of malignant lesion was 51 years. Most malignant cases (43%) were in WHO stage II. 50% of the malignant cases had Grade II malignancy while about 60% cases had axillary node metastasis. Most of the results were closely similar to that of other studies with few minor differences.
Conclusion: A wide spectrum of breast pathology with specific lesions and presentation has been described in different ages. Most of malignant cases had adverse prognostic factors. Benign lesions with distressing symptoms however formed the majority. Female education, breast self examination, malignancy screening and awareness programmes should be encouraged and implemented to reduce morbidity and mortality.
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