Abstract | UNLABELLED: A prospective survey of 225 patients carried out over a period of 7years (1992 - 1999) to determine the pattern and outcome of benign breast diseases. Two hundred and seventeen (96.4%) were females and 8 males, with the age ranging from 14-63 years, mean 28.7 SD+10.6 years. The mean age for patients with fibroadenoma was 24 years and 31.6 years for fibrocystic disease of the breast. One hundred and ninety six patients (87.2%) presented with breast lumps or mass, non-menstrual cycle and menstrual cycle related pain in 39(17.3%) and 32(13%) patients respectively and nipple discharge in 60 patients (26.7%). Mean duration of symptoms was 0.91+0.64 years, 2 + 1.2 weeks for inflammatory lesions and 0.86 + 0.56 yers for benign tumours and also menstrual cycle related breast pain. Right side was involved in 162 patients (72%), 85(38%) left side and 77(34.2%) bilateral. Clinical diagnosis was fibrocystic disease 96(42.7%). Fibroadenoma 89 (39.5%), inflammatory conditions 35(15.7%), galactocele in 9(40%) and gynaecomastia in 7(3%) of the patients. Excisional or incisional biopsy was carried out in 197 patients (87.5%), antibiotic and analgestic administration in 35(15.6%) and 29(13%), respectively. Histopathologic analysis showed fibroadenoma in 91 (46.2%), fibrocystic disease 83 (42.2%), and others in 23 (11.6%) cases. The mean follow-up period was 10 months for tumours and I month for others. Postoperative complications were infrequent, there were recurrence either on the ipsilateral or contralateral breast in 10(4.4%) patients of which 3(1.3%) cases were malignant. CONCLUSION: Fibroadenoma was the most common benign breast disease, followed by fibrocystic disease of the breast. Postoperative complications were uncommon.
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Authors | A R Adesunkanmi, E A Agbakwuru |
Journal | West African journal of medicine
(West Afr J Med)
Vol. 20
Issue 2
Pg. 146-51
( 2001)
ISSN: 0189-160X [Print] Nigeria |
PMID | 11768015
(Publication Type: Journal Article)
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Chemical References |
- Analgesics
- Anti-Bacterial Agents
|
Topics |
- Adult
- Analgesics
(therapeutic use)
- Anti-Bacterial Agents
(therapeutic use)
- Biopsy
- Breast Diseases
(epidemiology, pathology, therapy)
- Breast Neoplasms
(epidemiology, pathology, therapy)
- Drainage
- Female
- Fibroadenoma
(epidemiology, pathology, therapy)
- Fibrocystic Breast Disease
(epidemiology, pathology, therapy)
- Gynecomastia
(epidemiology, pathology, therapy)
- Hospitals, Rural
- Hospitals, Teaching
- Humans
- Male
- Nigeria
(epidemiology)
- Prospective Studies
- Recurrence
- Treatment Outcome
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