Different Conditions of Breast Among Females Presenting With Breast Lump

Abstract

Objective: To determine the radiological and clinical evaluation among women presenting with breast lump at a tertiary care Hospital.

Methodology: A descriptive cross-sectional study was done at surgery department at AIMS Hospital Muzaffarabad AJK from February 2023 to August 2023. All the women aged 18 years or old and presenting with palpable lump were included. A detailed medical history and clinical examination was done. Mammography and ultrasound were done to evaluate different conditions with breast lump. Furthermore, on suspicious lump by radiological evaluation, the FNAC or biopsy were done as per indications. Data was entered and analyzed using SPSS version 26. 

Results: The average age of patients was 36.1 ± 11.78 years, with a disease duration ranging from 6 to 69 months. Most patients had a normal BMI (74.6%), while 23.8% were overweight and 1.6% obese. Fibroadenomas were the most common condition (33.3%), followed by breast abscess (14.3%), cysts and fibrocystic changes (each 12.7%), intra-ductal papilloma (11.1%), and lipoma (7.9%). Rare conditions like fibroadenoma with lipoma, mastitis, lipoma with intra-ductal papilloma, and fat necrosis each occurred in 1.6% of cases. No statistically significant associations were found between breast conditions and BMI, socioeconomic status, or lesion site (p > 0.05).

Conclusion: Study revealed the majority of the lesions were found on the right breast, and the most common condition identified was fibroadenoma, followed by breast abscesses, cysts, fibrocystic changes, intra-ductal papilloma, and lipomas.