Benign Breast Disease: A Community Based Cohort Study

Surita Kantharia; Susan Cherian; Anuradha Chakrabarti; Prashant Bhandarkar; Anita Gadgil

Volume : X, Issue : VIII, August - 2020

Benign Breast Disease: A Community Based Cohort Study

Surita Kantharia, Susan Cherian, Anuradha Chakrabarti, Prashant Bhandarkar, Anita Gadgil

Abstract :

Background: Benign east diseases, in spite being more common and frequent than east malignancy, is not accorded due importance importance in comparison to malignancy. Benign east lesions in majority are symptomatic, though at times they are detected incidentally as part of screening programs for east cancer. The management of benign east disease includes detailed clinical history, complete east examination, radiological, and if necessary histological diagnostic investigations to rule out malignancy; palliation of symptoms; treatment and counseling and monitoring of patients at increased risk of east cancer. Investigations to rule out a malignancy and reassurance is very important apart from treatment. There is a paucity of studies from India, on Benign Breast diseases. The present study is an analysis of benign east disease occurring in a closed community. Methods: This is a prospective analysis of a retrospectively maintained data. Data of patients presenting with (BBD) were retrieved during the period from June 2013 to December 2015. Clinical Breast Examination (CBE) was performed in all, with subsequent east imaging and cytology if required, followed by appropriate treatment. They were all followed up based on risk stratification for malignancy until January 2020. Result: Of a total of 3033 cases presenting to us, 2972 patients were analyzed for benign east disease. Of these 964 (32.44%) of the women with benign east disease were symptomatic. Breast lump was the presenting complaint in 11.8 %. CBE was suggestive of benign east findings in 33%. Breast imaging revealed benign findings in 20.7%. Both imaging and cytology (FNAC) revealed that Fiocystic changes was the commonest lesion, followed by fioadenoma. Clinical and radiological follow up of the benign lesions showed no progression of the lesion to malignancy. Though 5 cases developed malignancy, they were in another area of the east, not related to benign lesions. Conclusion: Benign east disease is common. Most of them are symptomatic. Imaging and cytology provide conclusive diagnosis. The lesions are not precursors of malignancy.