ABSTRACT
L''Adénofibrome est l'affection la plus fréquente des pathologies bénignes du sein. L'objectif était d'identifier les aspects clinique et thérapeutique de l'adénofibrome dans le service de gynécologie obstétrique et chirurgie générale du CHU Gabriel TOURE. Patientes et Méthodes : L'étude était descriptive avec récolte rétrospective des données du 1er juillet 2018 au 31 juillet 2021. Ont été inclus, les dossiers de patientes prises en charge pour adénofibrome selon les principes éthiques garantissant l'anonymat et la confidentialité des données. Résultats : Nous avons recensé 701 cas de pathologie mammaire parmi lesquelles nous avons retenu au total 112 cas d'adénofibrome durant la période d'étude soit 15,9%. Nous avons enregistré 682 cas de tumeur mammaire, l'adénofibrome a représenté 16,42 %. Ainsi parmi toutes les 154 tumeurs bénignes du sein, l'adénofibrome (112 cas) a représenté 72,7%. L'âge moyen était de 27 ans avec un écart type de 14,8 ans (13 ans et 62 ans). La tranche d'âge de 20 à 35 ans était la plus représentée soit 44%. La fréquence de l'adénofibrome diminuait avec l'augmentation de la gestité et de la parité. L'obésité ou le surpoids ont été retrouvés chez 63 des patientes. Le motif principal de consultation était la présence d'une tuméfaction mammaire. L'atteinte unilatérale gauche prédominait dans 46% et la localisation au quadrant supéro- externe représentait 50 %. La résection chirurgicale a représenté la modalité de prise en charge la plus fréquente avec 56,2 % des cas. Conclusion : L'adénofibrome du sein est une affection bénigne assez fréquente. Son diagnostic oblige à une surveillance. Le traitement chirurgical doit être discuté selon l'âge, la taille et la présence de facteurs de risque de malignité
Fibroadenomas are the most common benign breast disorders. The aim of this study was to identify the clinical and therapeutic aspects of fibroadenoma in the obstetric gynecology department and General Surgery of Teaching hospital Gabriel TOURE in Bamako Mali. Patients and Methods: The study was descriptive with retrospective data collection from July 1, 2018 to July 31, 2021. The records of patients treated for fibroadenoma were included in accordance with ethical principles guaranteeing anonymity and confidentiality of data. Results: A total of 112 patients were selected for the study period, representing 15. 9% of all breast pathologies. We recorded 642 cases of breast mass, with fibroadenoma accounting for 16.72% of these breast tumors. Among all 154 benign breast tumors, fibroadenoma accounted for 72%. The mean age was 27 years, with a standard deviation of 14.8 years (13 years and 62 years). The 20-35 age group was the most represented, at 44%. The frequency of fibroadenoma decreased with increasing gestational age and parity. Over 60% of patients were overweight. The main reason for consultation was the presence of breast swelling. Unilateral left breast swelling was predominant in 46% of cases, and location in the upper-outer quadrant accounted for 50%. Surgical excision was the most frequent management modality, accounting for 56,2% of cases. Conclusion: fibroadenoma of the breast are a fairly common benign condition. Diagnosis requires surveillance. Surgical treatment should be discussed according to age, size and the presence of risk factors for malignancy.
Subject(s)
Humans , Female , FibroadenomaABSTRACT
Background: Breast swellings in children and adolescents may be overlooked on assumption that they are physiological enlargement. Pathologic swellings including cancers have however been encountered in this age group. This study highlighted the spectrum of tumours in childhood and adolescents. Materials and Methods: This was a 7 year retrospective analysis of all histologically diagnosed breast tumours in people aged 0 - 19 years. Results: There were 134 breast tumour diagnoses occurring in 133 females and 1 male (gynaecomastia). One hundred and nineteen cases (88.8) were recorded in the 10 - 14 year age group and 15 cases (11.2) in the 15 - 19 year age group. No case was found in children aged less than 10 years. The most common tumour was fibroadenoma accounting for 75.4 (n = 101) of all tumours followed by tubular adenoma (n = 11; 8.2) and adenosis (n = 10; 7.4). No case of malignancy was recorded in this study. Conclusion: Fibroadenoma is the most common breast tumour in children and adolescents in our environment
Subject(s)
Adolescent , Breast Neoplasms/diagnosis , Breast Neoplasms/pathology , Child , Fibroadenoma , NigeriaABSTRACT
Background:Diseases of the breast are common and include problems; related to pregnancy and lactation; abscesses and other inflammatory conditions; nonneoplastic proliferative disorders and neoplasms. No known previous histopathological analysis has been done in our setting to classify breast lesions.The purpose of this study is to review all cases of breast diseases seen in the department over a six-year period and to determine the pattern of histological diagnosis of breast diseases in our setting.Methods: This was a hospital based retrospective study where our bench record books were used to identify all the breast lesions after which the Haematoxylin and Eosin stained slides and the request cards were retrieved. The slides were reviewed based on the diagnostic criteria by Juan Rosai. Results: A total of 291 breast lesions were seen in the department. One hundred and seventy three (59.5) of these were inflammatory; non-neoplastic proliferative and benign neoplastic disorders; while 118 (40.5) were malignant neoplasms. Fibroadenoma was the commonest benign breast lesion with 69 (23.7) cases. Of all the malignancies; invasive ductal carcinoma was the most frequent (68.6). Breast cancer was found most frequently in the 4th decade (32.2); followed by the 5th decade (24.6) of life. Conclusion: Female breast cancer was quite common in this study and most of our patients presented with advanced disease
Subject(s)
Breast , Breast Diseases , Carcinoma , FibroadenomaABSTRACT
Background:Diseases of the breast are common and include problems; related to pregnancy and lactation; abscesses and other inflammatory conditions; nonneoplastic proliferative disorders and neoplasms. No known previous histopathological analysis has been done in our setting to classify breast lesions.The purpose of this study is to review all cases of breast diseases seen in the department over a six-year period and to determine the pattern of histological diagnosis of breast diseases in our setting.Methods: This was a hospital based retrospective study where our bench record books were used to identify all the breast lesions after which the Haematoxylin and Eosin stained slides and the request cards were retrieved. The slides were reviewed based on the diagnostic criteria by Juan Rosai. Results: A total of 291 breast lesions were seen in the department. One hundred and seventy three (59.5) of these were inflammatory; non-neoplastic proliferative and benign neoplastic disorders; while 118 (40.5) were malignant neoplasms. Fibroadenoma was the commonest benign breast lesion with 69 (23.7) cases. Of all the malignancies; invasive ductal carcinoma was the most frequent (68.6). Breast cancer was found most frequently in the 4th decade (32.2); followed by the 5th decade (24.6) of life. Conclusion: Female breast cancer was quite common in this study and most of our patients presented with advanced disease
Subject(s)
Breast , Breast Diseases , Carcinoma , FibroadenomaABSTRACT
A 5-year retrospective review of all benign breast masses was carried out at the Baptist Medical Center; Eku; Delta State between January 1st 2001 and December 31st 2005. Benign breast masses made up 72.64of breast biopsies; 96.10were females; with age ranged between 13 and 66 years (mean 28.8years). Fibroadenoma was most common (68.83) and the sizes ranged from 1cm to 14cm with mean of 3.66cm. This study shows that benign breast masses are common in this environment and encourages self-breast examination and clinical breast examination