Spectrum of Lesions Presenting As a Breast Lump

  • Rupesh Mukhia KIST Medical College, Imadol, Lalitpur https://orcid.org/0000-0002-1880-8644
  • Sushama Bhatta KIST Medical College, Imadol, Lalitpur
  • Abishek Thapa KIST Medical College, Imadol, Lalitpur
  • Ganesh Simkhada KIST Medical College, Imadol, Lalitpur
  • Kamal Koirala KIST Medical College, Imadol, Lalitpur
  • Sujita Hirachan
  • Nisef Adhikari
  • Rupashi Mukhia Star Hospital, Sanepa, Lalitpur.
Keywords: Breast Carcinoma, Breast Lump, Fibroadenoma, Fine-Needle Aspiration Cytology (FNAC)

Abstract

Introduction: Breast lump is a common problem seen in the Surgery Outpatient Department which is caused by various benign or malignant conditions. Diagnosis depends upon the clinical examination, radiological examination and pathological examination called as triple assessment. However accurate diagnosis depends on pathological examination in the form of fine needle aspiration cytology (FNAC) or biopsy. The objective of this study was to find out the spectrum of conditions causing breast lump.

Methods: This is a retrospective descriptive study of 95 cases of breast lump who presented to surgery department and undergone fine needle aspiration cytology from April 14, 2015 to April 13, 2019 at KIST Medical College Teaching Hospital and the findings were analyzed.

Results: Among total of 95 cases of breast lump, majority of patients was below the age of 40 years (72.63%) showing benign lesions in 84 patients (88.42%). Among benign lesions, fibroadenoma (33.33%) was commonest diagnosis followed by benign cyst (19.05%). Infiltrating Ductal carcinoma was diagnosed in 10 patients with age above 40 years (90%).In 14 patients where histopathological diagnosis was available, 12 patients showed benign lesions corresponding with FNAC reports. Two patients had modified radical mastectomy following FNAC report showing carcinoma which correlated with it.

Conclusion: Breast lump is caused by various benign or malignant conditions depending upon the different age group. Fine needle aspiration cytology or histopathological examination is the effective diagnostic tool.

 

Author Biographies

Rupesh Mukhia, KIST Medical College, Imadol, Lalitpur

Associate Professor and Head ,  Department of Surgery

Sushama Bhatta, KIST Medical College, Imadol, Lalitpur

Professor and Head, Department of Pathology

Abishek Thapa, KIST Medical College, Imadol, Lalitpur

Lecturer, Department of Surgery

Ganesh Simkhada, KIST Medical College, Imadol, Lalitpur

Lecturer, Department of Surgery

Kamal Koirala, KIST Medical College, Imadol, Lalitpur

Professor, Department of Surgery

Rupashi Mukhia, Star Hospital, Sanepa, Lalitpur.

Medical Officer

Published
2020-02-11