A clinico pathological study of fibroadenoma of the breast

Narayanchandra. I. Hebsur, Shivanagouda Y. Mulkipatil, Narayanaswamy R.R

Abstract


Introduction: Fibroadenoma of the breast is a common cause of a benign breast lump in premenopausal women. Though considered as a risk factor for developmentof breast cancer, its reporting has been overshadowed by that of breast cancer. Objective: Toanalyze the occurrence of fibroadenoma among different age groups, rural or urban background and among married and unmarried patients and to correlate clinical diagnosis with the histopathological diagnosis. Materials and methods: This study includes total of 40 cases during the period from November 2009 to October 2011 using the records maintained at KIMS(Karnataka Instituteof Medical Sciences)Hospital, Hubli. Results: From this study it is observed that the mean age of presentation was 25.55 years (range 15-48years). Itpresented as painless lump(75%), 80% of patients had the symptoms < 12 months (range 1 month -11 years). 24 cases (60%) had their fibroadenoma lump in their right. 32% of the patients had their fibroadenoma in upper lateral quadrant, slightly more compared to   upper medial quadrant (30%). 28 patients (70%)had one lump, 45% of cases measuring less than 3 cm in size (range 1-11cms), 20% of cases had giant fibroadenoma. Tissue diagnosis was performed in 37 patients. 4 recurrent fibroadenoma cases operated in this study among which recurrence of 1 case occurred during the study period. Conclusion: Fibroadenoma is a source of anxiety in teenage group and it should be dealt by surgical excision.


Full Text:

PDF HTML

References


Elston C. W and Ellis I. O. Fibroadenoma and related conditions. Systemic pathology, 3rd edition: P 147-183.

Purushothaman R, Rubby SA. Clinical study on fibroadenoma of the breast. IntSurg J 2016;3(4):1916-9.

Rangabashyam N, Gnanaprakasam D, Krishnaraj B, Manohar V, Vijayalakshmi SR. Spectrum of benign breast lesions in Madras. J R Coll SurgEdinb. 1983 Nov;28(6):369-73.

Cerrato F, Labow BI. Diagnosis and management of fibroadenomas in the adolescent breast. SeminPlast Surg. 2013 Feb;27(1):23-5. doi: 10.1055/s-0033-1343992.

Arno Kuijper, Ellen C.M. Mommers, Elsken van der Wall, Paul J. van Diest. Histopathology of Fibroadenoma of the Breast, American Journal of Clinical Pathology, Volume 115, Issue 5, 1 May 2001, Pages 736–742, https://doi.org/10.1309/F523-FMJV-W886-3J38.

Oluwole SF, Fadiran OA, Odesanmi WO. Diseases of the breast in Nigeria. Br J Surg. 1987 Jul;74(7):582-5.

Raju G.C, Jankey N and Naraynsingh V. Breast disease in young West Indian women: an analysis of 1051 consecutive cases. Postgraduate Medical Journal 1985; 61(721): 977-978.http://dx.doi.org/10.1136/pgmj.61.721.977

BewtraChhandra. Fibroadenoma in woman in Ghana. Pan Afr Med J.2009:2:11, published online 2009 July21. PMCID: PMC2984278

Nelson ZakiaCoriaty, Ray Roberta M, Gao Dao Li, and Thomas David B. Risk Factors for Fibroadenoma in a Cohort of Female Textile Workers in Shanghal in China. American Journal of Epidemiology 2002:156(7);599-605.DOI: 10.1093/aje/kwf094.

Carty N.J, Carter C, Rubin C, Ravichandran D, RoyleG.T, TaylorI. Management of fibroadenoma of the breast. Royal collSurg England 1995; 77(2):127-130.

WikinsonS,Anderson T.J, Rifkind E, Chetty U and Forrest A.P.M. Fibroadenoma of the breast; a follow-up of conservative management. Br.j.ofSurg 1989; vol. 76(4): 390-391.

Greenberg Ron, Skornick Yehuda and Kaplan Ofer. Management of Breast Fibroadenomas. J Gen Intern Med. 1998 September; 13(9): 640–645. doi: 10.1046/j.1525-1497.1998.cr188.x

Sainsbury JR, Nicholson S, Needham GK, Wadehra V, Farndon JR. Natural history of the benign breast lump. Br J Surg. 1988 Nov;75(11):1080-2.

Cant PJ, Madden MV, Close PM, Learmonth GM, Hacking EA, Dent DM. Case for conservative management of selected fibro-adenomas of the breast. Br J Surg. 1987 Sep;74(9):857-9.doi: 10.1002/bjs.1800740936

A Vijaykumar, MB Ajitha, BS Shivaswamy, N Srinivasan. A Systematic Study on Fibroadenoma of the Breast. Eur J Surg Sci 2012;3(3):80-85.


Refbacks

  • There are currently no refbacks.