Pattern of Benign Female Breast Disease in Al-Yarmouk Teaching Hospital

S Jabbo, Najeeb

	Pattern of Benign Female Breast Disease in Al-Yarmouk Teaching Hospital
Mustansiriya Medical Journal
Article 1, Volume 9, Issue 1, 2010, Pages 21-24
Author
Najeeb S Jabbo
Abstract
Background Benign breast disease is the most common cause of breast problems. Its diagnosis is important to differentiate it from malignant one as they differ in treatment and prognosis. Objective To study the prevalence of different types, their relation to age, presentation and investigations used in diagnosis will be studied. Methods This is a retrospective study that had enrolled 114 female patients who were treated surgically at Al-Yarmouk Teaching Hospital for benign breast diseases, during the period from 1st Jan. 2006-30th April 2007. Data includes age, presenting symptoms, investigations and final diagnosis. Results The median age was 35.39 years (range 15-55y). Forty (35%) patients were in the 4th decade of life. Breast lump was the main presenting symptom in 95(83.4%) patients. Investigations carried out included; ultrasound for 65 (57%) patients. Sixty two (54.4%) patients had the investigation of FNAC with a sensitivity and specificity of 85% and 95.1% respectively. Mammography was done in 20 cases which gave the sensitivity of 81.8% and specificity of 88.8%. Fibroadenoma was the most common benign pathology and affected 70(61.4%) patients. Conclusion Most patients with benign breast diseases were in the 4th decade. Fine needle aspiration cytology had the highest sensitivity and specificity when taken alone. Fibroadenoma was the commonest pathology. Patients with benign breast diseases should have excisional biopsy or followed by according to the clinical impression of the examiner to exclude malignancy.

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