Clinical Study of Benign Breast Diseases Based on Aberrations in Normal Development and Involution Classification and Development

Corresponding Author:
Dr. Archana Chilakala,
Assistant Professor,
Department of General Surgery,
S. V. Medical College and SVRRGG Hospital,
Tirupati-517501, Andhra Pradesh, India.
E-mail: archana.chilakala@gmail.com

ABSTRACT

BACKGROUND

Benign breast diseases are common disorders, with up to 30% of women suffering from benign breast diseases requiring treatment at point of time in their lives.¹ The concept of ANDI (Aberrations of Normal Development and Involution) is recommended as a framework for understanding majority of benign conditions. Breast complaints are one of the most common reasons for surgical consultation. The majority, ultimately prove to have a benign origin.² Breast lesions may present with a variety of symptoms often confusing clinical evaluation, leading to error in treatment of essentially benign conditions. We wanted to assess the role of ANDI classification in the management of benign breast diseases. We also wanted to categorise benign breast diseases with reference to ANDI classification and assess the role of ANDI classification as a tool to select the mode of benign breast diseases.

METHODS

After Institutional Ethics Committee approval, a prospective study was done among 100 female patients who presented with complaints of benign breast diseases under ANDI classification. The study was conducted in Sri Venkateswara Ramnarain Ruia Government General Hospital, Tirupati, from November 2017 to October 2018. All female patients who attained menarche presenting with complaints of benign breast conditions under ANDI classification attending OPD/admitted as inpatients in the Department of General Surgery were included in the study. Patients with carcinoma breast, breast abscess and those who are not willing to give consent were excluded. Total number of benign breast diseases studied was 100.

RESULTS

The most common benign breast disorder is fibroadenoma, accounting for about 60 cases (60%), followed by cyclical mastalgia with nodularity which accounts for 30 (30%) cases, incapacitating mastalgia accounting for 5 cases (5%), duct ectasia for 3 (3%) and giant fibroadenoma for 2 cases (2%).

CONCLUSIONS

The most common presentation is lump in the breast, followed by pain in the breast. Majority of the benign breast diseases occur in younger age group followed by middle age group. Fibroadenoma and mastalgia were the most common disorders. Fibroadenoma usually presents as discrete lump in the breast but multiple lumps in one breast and lumps in both the breasts are also noticed. Benign breast diseases most commonly affect upper and outer quadrant of the breast. Fine Needle Aspiration Cytology and Ultrasonogram nearly confirmed all the cases. Surgery proved to be the best way to manage the cases of fibroadenoma and simple excision was the better procedure.

KEY WORDS

FNAC, Benign Breast Disease, Histopathology, Microdochectomy