BENEATH THE SURFACE: UNCOVERING MALIGNANCY IN BENIGN BREAST LUMPS

Main Article Content

Azhar Zahir Shah
Ahmed Zeb
Aurang Zeb
Shah Jehan
Adil Shah Roghani
Jibran Umar Ayub Khan

Keywords

Fibroadenoma, fibrocystic disease, invasive ductal carcinoma

Abstract

Introduction: Breast lumps are incidentally diagnosed in females who are generally ignorant of their health especially in underdeveloped country like Pakistan where illiteracy rate is quite high. They are significant due to the fact as they have a potential to transform into malignancy


 


Research Methodology: This descriptive observational study was conducted in surgical department of MMC General Hospital, Peshawar. The duration of study was two years from October 2020, to October 2022. The study was designed to determine the frequency of malignancy in clinically benign looking breast lumps and to calculate the mean age of patients having malignancy in these cases. Hundred patients with breast lump were selected randomly from those patients who came through O.P.D. to seek treatment for breast diseases. They were registered after thorough clinical history, examination and specific relevant investigation where and when required.


100 cases were randomly selected for the study.


 


Results: ​The Common presenting feature at time of admission was painless breast lump (41%), lump with pain (32%) and with nipple discharge (22%) and skin changes (5%). The total number of patients with benign breast lumps was 76 and malignant breast lumps were 24. Benign fibro adenoma was the most common finding, found in 41 patients (41%) while fibrocystic disease was the second most found in 25 patients (25%). Out of 100 patients, total of 24 cases were found to be malignant. The patients in the study were aged between 15 and 75 years.


 


Conclusion: ​Most breast lumps are benign, but any new or unusual lump should be evaluated to rule out malignancy. Regular screenings and clinical exams are vital, especially for individuals with risk factors for breast cancer.

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