Spectrum of Benign Breast Disease; a Critical Review of Therapy: A Single – Center Experience

Abstract

Background: A benign breast condition is one that is not cancer. These conditions often go away on their own or are easily treated. Because a few benign breast conditions can increase your risk of getting cancer in the future, you may need to have follow-up tests or exams with your benign breast disease comprises a large spectrum of disease which ranges from mastalgia, nipple discharge to discrete lump. Medical management with Danazol, bromocriptine, primrose oil and Vitamin E capsules has importance along with surgical intervention in few cases. Materials and Methods: One hundred and one (n=101) patients with mastalgia, nipple discharge and breast lump were treated with medical or surgical management. Post treatment all patients were followed up for symptomatic relief. Results: Majority of the patients (n=64) presented with mastalgia. Rest of the patients presented with nipple discharge and discrete lump. Most patients (n=75) were treated with Danazol, Linoleic Acid or Vitamin E. 85% patients were satisfied with the treatment administered to them. Conclusion: Benign breast disease is a diverse spectrum with miscellaneous symptoms. Benign breast diseases are common in female patients and fibroadenoma is the commonest of them all. Triple assessment gave a firm diagnosis and it eliminates un­necessary anxiety in the patients about breast cancer or any other serious illness. Medical management is mainstay with indication of surgery in few cases.