Spectrum of benign breast diseases & role of self breast examination: a medical college experience in Madhya Pradesh
Abstract
Objectives: The aim of the study to create awareness of self breast examination in and around a medical college hospital, to see how it changes the scenario and to study the clinic-pathological study of breast diseases in these patients.
Methodology: Cross-sectional study was carried out in a medical college & hospital. Females were counseled and taught about the importance and method of self breast examination. Then patients of breast diseases who attended the surgery outdoor clinics and gave detailed clinical history were delineated and findings were recorded in a standard proforma.
Results: There was more than 300 % increase in the number of patients after the self breast awareness campaign which is great success. 66% patients were found to have a significant pathology. Among benign breast diseases, fibroadenoma was the most common lesion constituting (68.12%) cases. Benign breast diseases are commonly seen in younger age group and usually presented with either breast lumps or nodularity.
Conclusion: Awareness spread via counseling and teaching classes was very useful. Self Breast Examination being a screening tool is a good measure. Further evaluation is required by other methods to finally reach to a definitive diagnosis and to further plan treatment.
Downloads
References
Khanzada TW, Samad A, Sushel C. Spectrum of benign breast diseases. Pak J Med Sci. 2009 Apr 1;25(2):265-8.
Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS. Spectrum of breast cancer in Asian women. World journal of surgery. 2007 May 1;31(5):1031-40.
Hisham AN, Yip CH. Spectrum of breast cancer in Malaysian women: overview. World J Surg. 2003 Aug;27(8):921-3. Epub 2003 Jun 6.
Leong SP, Shen ZZ, Liu TJ, Agarwal G, Tajima T, Paik NS, Sandelin K, Derossis A, Cody H, Foulkes WD. Is breast cancer the same disease in Asian and Western countries? World J Surg. 2010 Oct;34(10):2308-24. doi: https://doi.org/10.1007/s00268-010-0683-1.
Agarwal G, Ramakant P, Forgach ER, Rendón JC, Chaparro JM, Basurto CS, Margaritoni M. Breast cancer care in developing countries. World J Surg. 2009 Oct;33(10):2069-76. doi: https://doi.org/10.1007/s00268-009-0150-z.
Guray M, Sahin AA. Benign breast diseases: classification, diagnosis, and management. The oncologist. 2006 May 1;11(5):435-49.
Shukla HS, Kumar S. Benign breast disorders in nonwestern populations: Part II—benign breast disorders in India. World journal of surgery. 1989 Nov 1;13(6):746-9.
Goehring C, Morabia A. Epidemiology of benign breast disease, with special attention to histologic types. Epidemiologic reviews. 1997 Jan 1;19(2):310-27.
Mackinnon WB, Barry PA, Malycha PL, Gillett DJ, Russell P, Lean CL, Doran ST, Barraclough BH, Bilous M, Mountford CE. Fine-needle biopsy specimens of benign breast lesions distinguished from invasive cancer ex vivo with proton MR spectroscopy. Radiology. 1997 Sep;204(3):661-6.
Thomas DB, Self SG, Allison CJ, Tao Y, Mahloch J, Ray R, Qin Q, Presley R, Porter P, Gao DL. Randomized trial of breast self-examination in Shanghai: methodology and preliminary results. Journal of the National Cancer Institute. 1997 Mar 5;89(5):355-65.
Baxter N, Canadian Task Force on Preventive Health Care. Preventive health care, 2001 update: Should women be routinely taught breast self-examination to screen for breast cancer?. Canadian Medical Association Journal. 2001 Jun 26;164(13):1837-46.
Foster Jr RS, Lang SP, Costanza MC, Worden JK, Haines CR, Yates JW. Breast self-examination practices and breast-cancer stage. New England Journal of Medicine. 1978 Aug 10;299(6):265-70.
Haji‐Mahmoodi M, Montazeri A, Jarvandi S, Ebrahimi M, Haghighat S, Harirchi I. Breast Self‐Examination: Knowledge, Attitudes, and Practices Among Female Health Care Workers in Tehran, Iran. The Breast Journal. 2002 Jul 1;8(4):222-5.
Austoker J. Cancer Prevention in Primary Care: Screening and self examination for breast cancer. BMJ. 1994 Jul 16;309(6948):168-74.
Minami Y, Ohuchi N, Taeda Y, Fukao A, Hisamichi S. Risk factors for benign breast disease according to histopathological type: comparisons with risk factors for breast cancer. Japanese journal of cancer research. 1998 Feb 1;89(2):116-23.
Carter CL, Corle DK, Micozzi MS, Schatzkin A, Taylor PR. A prospective study of the development of breast cancer in 16,692 women with benign breast disease. American journal of epidemiology. 1988 Sep 1;128(3):467-77.