Clinico-pathological assessment of breast lump: A clinical study

Abstract

Background: Breast is a glandular organ influenced by hormones in females with various structures giving rise to different types of lesion and lumps. The present study was conducted with the aim of clinico-pathological assessment of breast lump. Materials & Methods: The present study was conducted in the department of General pathology, at Sri Siddhartha Medical College, Tumkur. It comprised of 120 breast specimens obtained from surgery department. Results: Maximum patients were seen in age group 20-40 years (70) followed by 40-60 years (30) and >60 years (20). The difference was significant (P< 0.05). Histological diagnosis was fibroadenoma in in 43, fibrocystic disease in 38, chronic abcess in 7, duct ectasia in 5, fat necrosis in, granulomatous in 3, lactating adenomas in 1, lipomas in 1, benign phyllodes in 2, DCIS in 3, ductal carcinoma in 12 and invasive lobular carcinomas in 2 cases. The difference was significant (P< 0.05). Conclusion: We found that most common age of occurrence of breast lumps was in third decade. The most common breast lump lesion was fibroadenoma followed by fibrocystic disease. Carcinoma was seen in 14 cases suggesting that a histopathological evaluation is essential to rule out malignancy.