Pattern of Breast Diseases in the Surgical OPD of a Medical College Hospital

Abstract

Introduction: Breast diseases are quite common conditions encountered in surgical practice, ranging from benign to malignant lesions. Early diagnosis and management are crucial to reduce morbidity and mortality. This study was conducted to determine the pattern and frequency of various breast diseases among female patients attending the surgical outpatient department of a medical college hospital.

Methods: It was a retrospective descriptive study conducted at Green Life Medical College hospital, Dhaka from 1st January, 2020 to 31st December, 2022. Female patients presenting with complaints regarding breast were recruited in the study. All of them underwent clinical breast examination followed by necessary radiological and / or histopathological investigations to diagnose the disease and were treated accordingly.

Results: A total of 292 patients were included. Fibrocystic disease was the commonest disease (45.89%) followed by fibroadenoma (19.18%), breast abscess (10.62%) and carcinoma (5.82%). Pain in the breast was the commonest presenting symptom (43.1%). Lump in the breast was found in 36.3%, while pain and lump were present in 29.8% of patients. 52% patients received surgical treatment whereas 48% patient were treated conservatively. Excision & biopsy was the commonest surgical procedure (26%) followed by Incision & drainage and wide local excision (9.6%).

Conclusion: Breast complaints are quite common in surgical practice. Benign breast diseases are more common than the malignant ones. Fibrocystic disease is the commonest breast problem. Malignancy of breast presents usually in late stages.

Green Life Med. Col. J 2026;11(2): 45-49