Histopathological Spectrum of Breast Lesions - A Study Done in a Tertiary Care Hospital.

ABSTRACT

Breast cancer accounts for about one-third of female cancers and nearly about one-fourth of all malignancies. Breast carcinoma, in India, is the second most common malignancy after carcinoma cervix. Well timed and precise detection of a lump in the breast and prompt intervention can reduce not only the concern but is also lifesaving in many. We wanted to study the histopathological spectrum and prevalence of breast lesions.METHODSThis is a retrospective study done among 867 cases of breast lesions. The histopathological features were studied, and the various entities were diagnosed based on the WHO classification of tumours of the Breast.RESULTSUnilateral lesions (91.7%) were much more common than bilateral lesions. Most of the cases were benign (88.3%) of which the most common was fibroadenoma accounting for 496 (57%) of all cases followed by fibroadenosis (16.26%). Among the malignant cases the most common was invasive ductal carcinoma NOS accounting for 92 cases (10.6%).CONCLUSIONSThe pattern of breast lesions provides beneficial information concerning clinicopathological spectrum of breast lesions. For the correct and adequate treatment, clinical diagnosis, correlation and confirmation with the histopathological diagnosis of a breast lump is a must. Proper breast cancer awareness study and screening programs should be conducted across women of all status so that basic training and motivation can be given to women to report to the doctors as early as possible once a lump is noticed. This can reduce the morbidity and mortality associated with breast tumours.