ABSTRACT
The aim of this case series is to evaluate the pattern of breast lumps in males and females with special reference to spectrum of lesions in females below 40 years of age. A 20 years retrospective study was undertaken from the records of the department of Pathology, Bhopal. The lesions were classified into benign and malignant. In young females histological pattern was analyzed in various age groups. A total of 1824 cases were studied. 1724 (94.5%) cases were seen in females and 100 (5.5%) in males. There were 1276 (74%) females below 40 years of age and 448 (26%) were above 40 years of age. In young females 1136 (89%) lesions were benign and 140 (11%) were malignant lumps. Fibrocystic disease in 60 (49%) cases constituted the largest group of benign lumps followed by 30 (24.5%) cases of inflammatory lesion in older females. The mean age of malignant tumors was 34.1 in young females and 51.4 in females above 40. Infiltrating duct carcinoma constituted 83.5% of malignant tumors in young females and 86.1% in older females.
Subject(s)
Adolescent , Adult , Age Factors , Breast/pathology , Breast Diseases/epidemiology , Breast Neoplasms/etiology , Child , Female , Fibrocystic Breast Disease/complications , Humans , India/epidemiology , Male , Risk FactorsABSTRACT
Breast cancer forms the commonest cancer in females in Jaipur region. Two hundred cases of breast malignancy were recorded in a single year (1990). This constituted 8.30% of total cancers and 19.40% of all female cancers. The commonest age group was 45-54 years (37.0%) followed by 35-44 years (24.50%). Only 13.50% were below the age of 35 years. Majority of the patients (97.50%) were married and 76.0% got married below the age of 20 years, 26.50% got married below the age of 15 years. Most (75.0%) has menarche between the age of 13 and 16 years. Menstrual irregularities were present in only 17.50% of the cases. More than 6 pregnancies had in 33.50% patients and 50.50% had 3-5 pregnancies. Only 4.50% had no issue. Most of the women (68.50%) had their first live child between 18 and 25 years and 13.50% had below 18 years. Majority reported having breastfed their children for 1-2 years. Only 12.0% and 5.0% women reported having any problem with breast during lactation and otherwise respectively. A family history of cancer was present in 10.0% of the cases. A personal delay of more than two years in seeking medical help was observed in only 6.0% of the cases while 22.50% sought medical advice within a week time. Risk factors which are implicated in the aetiology of breast cancer in the western setting might not necessarily hold true in our country. More epidemiological studies are required to elicit correlation, if any, in the Indian context.
Subject(s)
Age Distribution , Breast Neoplasms/epidemiology , Contraceptives, Oral/adverse effects , Female , Fibrocystic Breast Disease/complications , Humans , India/epidemiology , Menarche/physiology , Parity/physiology , Risk Factors , Socioeconomic Factors , Time FactorsABSTRACT
Se relata un caso clínico de hiperestimulación ovárica, que provoca una tumoración quística ovárica multilocular por uso de tamoxífeno