Kiran Siddiqui, M Imtiaz Rasool.
Pattern of Breast Diseases: Preliminary Report of Breast Clinic.
J Coll Physicians Surg Pak Jan ;11(8):497-0.

Objective: To find out the pattern of breast disease in this part of the country and create public awareness about breast diseases especially cancer. Design: A cross-sectional and cohort study. Place and Duration of Study: The study was conducted at Department of Surgery, Jinnah Hospital / Allama Iqbal Medical College, Lahore from March 1999 to July 2000. Subjects and Methods: All the female patients reported were included in this study. They were diagnosed by history, physical examination and relevent investigations like ultrasonography, mammography, FNA and biopsy. Appropriate medical and surgical management was carried out. The breast cancer was treated according to TNA staging system by multidisciplinary approach. Method of breast self-examination (BSE) was taught with the help of charts and brochures. Results: The age ranged from 10 years to 75 years. Maximum number of patients (30%) was seen between 20-29 years of age while 15 (1%) cases did not suffer from any disease. Among 1485 patients the common conditions were non-cyclical mastalgia in 362 (24.37%), fibroadenoma in 289 (19.46%), fibrocystic disease in 267 (17.98%), breast abscess in 149 (10%) and breast cancer (6.19%). Other diseases were puberty mastitis 49 (3.2%), galactocele 40 (2.69%), accessory breast 45 (3%) and nipple discharge 28 (1.88%). Among the palpable lumps, breast cancer accounted for 11.75%. The commonest age of presentation of breast cancer was 5th decade (31%) followed by 4th decade (26%). Majority of cancer patients (54%) presented in stage III. All the women with breast abscesses were lactating. Non-cyclical mastalgia was commonly seen in 4th decade (30.66%) while 44.63% patients of fibroadenoma reported in the 2nd decade. Fibrocystic disease was reported between 3rd and 4th decade (62.17%). Conclusion: Commonest benign conditions were non-cyclical mastalgia followed by fibroadenoma while breast cancer contributed a significant percentage of palpable lumps. Due to effective public awareness programme, the number of patients attending the breast clinic increased from 13% in Ist quarter to 23.8% in the last quarter of the study.

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