Spectrum of Benign Breast Disease; a Critical Review of Therapy: A Single – Center Experience
Vijay Pratap Singh
Department of Surgical Oncology, Savera Cancer and Multispeciality Hospital, Savera Cancer & Multispeciality Hospital, Lohiya Nagar, Near Rajendra Nagar Overbridge, Dr. R.N. Singh Road, Kankarbagh, Patna - 800020, India.
Akash Kumar Singh
Department of Surgical Oncology, Savera Cancer and Multispeciality Hospital, Savera Cancer & Multispeciality Hospital, Lohiya Nagar, Near Rajendra Nagar Overbridge, Dr. R.N. Singh Road, Kankarbagh, Patna - 800020, India.
Pranab Kumar Verma
Department of Histopathology, Savera Cancer and Multispeciality Hospital, Savera Cancer & Multispeciality Hospital, Lohiya Nagar, Near Rajendra Nagar Overbridge Dr. R.N. Singh Road, Kankarbagh, Patna - 800020, India.
Sumantra Sircar
Department of Surgical Oncology, Savera Cancer and Multispeciality Hospital, Savera Cancer & Multispeciality Hospital, Lohiya Nagar, Near Rajendra Nagar Overbridge, Dr. R.N. Singh Road, Kankarbagh, Patna - 800020, India.
Vishal Mohan Singh
Department of Anesthesia, Savera Cancer and Multispeciality Hospital, Savera Cancer & Multispeciality Hospital, Lohiya Nagar, Near Rajendra Nagar Overbridge Dr. R.N. Singh Road, Kankarbagh, Patna - 800020, India.
Arun Kumar Jha *
Department of Clinical Research, Savera Cancer and Multispeciality Hospital, Savera Cancer & Multispeciality Hospital, Lohiya Nagar, Near Rajendra Nagar Overbridge Dr. R.N. Singh Road, Kankarbagh, Patna - 800020, India.
*Author to whom correspondence should be addressed.
Abstract
Background: A benign breast condition is one that is not cancer. These conditions often go away on their own or are easily treated. Because a few benign breast conditions can increase your risk of getting cancer in the future, you may need to have follow-up tests or exams with your benign breast disease comprises a large spectrum of disease which ranges from mastalgia, nipple discharge to discrete lump. Medical management with Danazol, bromocriptine, primrose oil and Vitamin E capsules has importance along with surgical intervention in few cases.
Materials and Methods: One hundred and one (n=101) patients with mastalgia, nipple discharge and breast lump were treated with medical or surgical management. Post treatment all patients were followed up for symptomatic relief.
Results: Majority of the patients (n=64) presented with mastalgia. Rest of the patients presented with nipple discharge and discrete lump. Most patients (n=75) were treated with Danazol, Linoleic Acid or Vitamin E. 85% patients were satisfied with the treatment administered to them.
Conclusion: Benign breast disease is a diverse spectrum with miscellaneous symptoms. Benign breast diseases are common in female patients and fibroadenoma is the commonest of them all. Triple assessment gave a firm diagnosis and it eliminates unnecessary anxiety in the patients about breast cancer or any other serious illness. Medical management is mainstay with indication of surgery in few cases.
Keywords: Benign breast disease, aberrations of normal development and involution, fibrocystic disease, breast abscess, FNAC, mammogram