Abdul Ghani Shaikh, Siri Chand, Muhammad Ishaque Soomro, Aijaz Ahmed Memon.
A study of surgical breast disease at Chandka Medical College Teaching Hospital Larkana.
Pak J Med Health Sci Jan ;4(1):05-8.
Objectives: To find out the number of the breast diseases, its frequency distribution in different age group among the patients attending surgical OPD for surgical consultation. Material and Method: This is a prospective study conducted at CMC Teaching Hospital Larkana. Patients attending surgical OPD for one or another breast problem were included. They were assessed clinically and their diagnosis was confirmed by cytological (FNAC) or histopathological (biopsy) examination. Then they were subjected to appropriate treatment. It must be mentioned at the outset that no clinical mammography could be done in the case of this study as these facilities are not available at CMC Teaching Hospital Larkana. Results: 264 cases of breast disease were diagnosed. This includes 232 female and 32 male patients. The ratio between benign and malignant lesions was 13.6:1. The benign breast diseases were the commonest lesions of the breast found in this study (93.2%) whereas malignant lesion was infrequent (6.8%). Among benign breast diseases, the commonest lesion was fibroadenoma (32.57%) followed by breast abscess (24.19%), Aberration of Normal Development and Involution (ANDI) which was 16.63% and gynecomastia (11.34%). 18 cases (6.80%) were of malignant lesion. This includes 16 female and 2 male cases. The common ages for benign breast diseases were, 20-40 years for fibroadenoma, 15-40 years for breast abscess, 18- 40 years for ANDI and 10-19, 50- 59 for gynecomastia respectively, whereas carcinoma breast was common in the age group of forties and fifties. Conclusion: We conclude from this study that benign breast diseases were the most frequent breast lesion. Among the benign breast diseases fibroadenoma was the commonest lesion. Breast carcinoma cases were less frequent and reached to the hospital in very late stage of the disease.
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