A clinicopathological study on breast lumps in patients in Silchar Medical College and Hospital

Volume : VII, Issue : VI, June - 2018

Dr. Siddhartha Sankar Bhattacharjee, Dr. Thoiba Moirangthem

Breast is a glandular organ which often give rise to lumps which is a source of great anxiety amongst women who have it .The

purpose of this study is to determine the prevalence of east lumps in women presenting at Silchar Medical College and Hospital.

To study the clinical staging of east lump if it turns out to be malignant in FNAC. To study the correlation between clinical

diagnosis, FNAC and specimen biopsy in operable cases.

Materials and methods: The current study comprises of 98 cases of women with east lumps who presented in the department

of Surgery, Silchar Medical College and Hospital during the period of one year. A complete clinical evaluation along with Fine

needle aspiration cytology (FNAC) was done . Suspicious cases were confirmed by histopathology examination.

Results: In our study, majority of the cases were in the age group 15–24 years.Duration of the lump was most commonly seen at

6 to 12 months. Location of the lumps were seen most commonly in the right upperouter quadrant comprising of 60%

.Consistency was firm in 65.3% and hard in 29.5%, the remainder had cystic consistency .Clinical staging of the 26 patients with

east lumps with associated palpable axillary lymphadenopathy and suspicious skin changes was done and 20 patients

presented with stage II tumor.Patients in the study were subjected to FNAC where 54% were found to have fioadenoma.

Histopathological examination was done in the entire 70 specimen who are operated upon. Majority of the patients had

fioadenoma 48.5% followed by intraductal carcinoma 32.8%.

Conclusion: Benign neoplasms are more frequent in younger females whereas malignant changes are seen fairly common in

older age group.