A Study of Clinical Profile of Benign Breast Diseases Presenting at a Tertiary Care Centre in Central India

The objective of the work was to study the clinical profile of Benign Breast Diseases (BBD) and their correlation with ultrasonographic and histopathological findings at a tertiary care centre in Central India. The present study was conducted in the Department of Surgery, Radiodiagnosis and Pathology at G R Medical College and J A Group of hospitals, Gwalior (MP) from November 2012 to October 2013 on 80 female patients of BBDs attending surgical OPD. A detailed history-taking and clinical examination was done on all the patients. All patients, as and when indicated, underwent USG breast, FNAC and excisional biopsy of the lesion. Patients were followed up during and after treatment. Out of the 80 patients taken into study, the most common pathology was fibroadenoma (45%) followed by mastalgia (32.5%) & fibroadenosis (17.5%). The most commonly involved age group was 20-30 years (38.75%). The commonest mode of presentation was pain (32.5%) followed by breast lump (31.25%). FNAC was found to be the most sensitive and specific investigation for diagnosis of fibroadenoma and fibroadenosis, while a clinical diagnosis was found to be adequate in cases of simple mastalgia. Thus we conclude that fibroadenoma is the most common BBD presenting in females, particularly in 3rd decade of life. FNAC is the investigation of choice for most BBD patients which helps in diagnosis as well as to avoid unnecessary surgery in the patients who can be managed satisfactorily on conservative approach.