An observational study on benign breast diseases in a tertiary healthcare centre in Chengalpettu district


  • Anusha R. Department of General Surgery, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Madhuranthagam, Tamil Nadu, India
  • D. Balaji Department of General Surgery, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Madhuranthagam, Tamil Nadu, India



Benign breast disease, Fibroadenoma, Fibroadenosis, FNAC, Ultrasonography


Background: Benign breast disorders constitute the majority of breast complaints presented by young females to a surgical OPD. It is 10 times more common than cancerous conditions and deserves attention due to its high prevalence, impact on woman’s life associated anxiety and possibility of some turning into cancerous conditions. It is divided into aberrations and abnormalities in development, epithelial and stromal proliferations, inflammations and neoplasms. In this study we aim at finding the prevalence, age, clinical presentation of commonest benign breast conditions and its correlation with pathological and radiological studies.

Methods: The 98 cases of benign breast diseases between the age group of 15-45 years underwent triple assessment consisting of clinical examination, ultrasonography and fine needle aspiration cytology. Patients who were diagnosed with malignancy were excluded from the study.

Results: Out of 98 breast lesions the commonest presentation was breast lump and found most commonly in right upper quadrant. The most common age was 20-30 years and fibroadenosis was most common benign lesion followed by fibroadenoma, mastalgia, breast abscess and nipple discharge.

Conclusions: BBDS are a common problem among females in the reproductive age group. It is important to differentiate between fibroadenoma and fibroadenosis. FNAC and ultrasonography are a useful aid in diagnosis of benign breast lesions.

Author Biography

Anusha R., Department of General Surgery, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Madhuranthagam, Tamil Nadu, India

Junior Resident 

Department of general surgery 

Karpaga Vinayaga Institute of medical sciences and research centre , Madhuranthagam  Tamil nadu 


Bhargava GS, Gupta A, Grover A, Ded KS. Benign breast disorders: rural Punjab population study compared with urban population studies. Int Surg J. 2015;2(4):629-33.

Bagale P, Dravid NV, Bagale S. Clinicopathological study of benign breast diseases. Int J Health Sci Res. 2013;3(2):47-54.

Singh SK, Ahmad KN, Pankaj D, Ansari MA. Benign breast lesions in a teaching hospital in rural Bihar. IJSS J Surg. 2016;2(1):6-10.

Rangabashyam N, Gnanaprakasam D, Krishnaraj DB, Monohar V, Vijayalakshmi SR. Spectrum of benign breast lesions in Madras. J Roy Coll Surg. (Edin.). 1983;28:369.

Cole P, Elwood JM, Kaplan SD. Incidence rates and risk factors of benign breast neoplasms. Am J Epidemiol. 1978;108:112.

Hughes LE, Mansel RE. Benign breast diseases. In Recent Advances in Surgery, no. 11, R.C.G. Russell, editor, Edinburgh, Churchill Livingstone. 1982;101.

Sartwell PE, Arthes FC, Tonascia JA. Epidemiology of benign breast lesions: Lack of association with oral contraceptive use. N Engl J Med. 1973;288:551.

Krishnaswamy U. Profile of benign breast diseases in urban India. Indian J Surg. 2003;65:178-81.

Shukla HS, Gupta R L. An outline of benign breast diseases in Recent Advances Surg. 1992.

Jawade KK, Bande V. Study of spectrum and clinical profile of benign breast disease in the rural area: is there any change. Int Surg J. 2020;7(7):2121-8.

Courtillot C, Plu-Bureau G, Binart N. Benign Breast Diseases. J Mammary Gland Biol Neoplasia. 2005;10:325-35

Martin PM, Kuttenn F, Serment H, Mauvais-Jarvis P. Studies on clinical, hormonal and pathological correlations in breast fibroadenomas. J Steroid Biochem 1978;9:1251-55.

Kumar M, Ray K, Harode S, Wagh DD. The pattern of benign breast diseases in rural hospital in India. East Central Afr J Surg. 2010;15:59-64.

Modhia D, Agarwal S, Yadav P, Joshi A. A clinico-pathological study of benign breast disease at tertiary care centre. Int Surg J 2022;9:1210-4

Agarwal R, Mohan N, Sharan J, Gupta G, Kumar P. Spectrum of breast diseases with cyto–histopathological correlation in a tertiary care hospital of Western Uttar Pradesh. Indian J Pathol Oncol. 2017 Jan;4(1):1-7.

Tonape TP, Tulsian AR, Gope DD, Gogineni JC. A study of clinical patterns in benign breast disorders. International Surgery Journal. 2018 Jan 25;5(2):518-22.

Khanzada TW, Samad A, Sushel C. Spectrum of benign breast diseases. Pak J Med Sci. 2009;25(2):265-8.

Out AA. Benign breast tumours in an African Population. J R Coll Surg Edinb. 1990;35:373-5.

Chaudhary IA, Qureshi SK, Rasul S, Bano A. Pattern of benign breast diseases. J Surg Pak. 2003;8:5-7.

Stern EE. Age related breast diagnosis. Can J Surg. 1992;35:41-5

Foncroft LM, Evans EB, Hirst C, Hicks BJ. Presentation and diagnosis of adolescent breast disease. Breast. 2001;10(5):399-404.

Ratanachaikamont T. Clinical breast examination, palpable breast lesion. J Med Assoc Thai. 2005;88(4):505-07.

Adesunkami AR, Agbakwuru EA. Benign breast disease at Wesley Guild Hospital, Ilesha, Nigeria. West Afr J Med. 2001;20(2):146-51.

Ihekwaba FN. Benign breast disease in Nigerian women: a study of 657 patients. J R Col Surg Edin. 1994;39(5):280-03.

Florica JV. Fibrocystic changes. O and G Clin N am. 1994;21(3):445-59.

Toomey DP, Cahill RA, Birido N, Jeffers M, Loftus B, McInerney D et al. Rapid assessment breast clinics–Evolution through audit. Eur J Cancer. 2006;42(17):2961-7.






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