Skip to main content

Benign Breast Diseases

  1: Introduction to Benign Breast Diseases

  • Definition: Benign breast diseases refer to non-cancerous conditions that affect the breast tissue.
  • Commonly encountered benign breast diseases include Fibroadenoma, phyllodes tumor, radial scar, atypical ductal hyperplasia (ADH), lobular carcinoma in situ (LCIS), and nipple discharge.
  • Despite being non-cancerous, these conditions may require medical attention and sometimes surgical intervention.

2: Fibroadenoma

  • Description: Fibroadenomas are the most common benign breast tumors, composed of glandular and fibrous tissue.
  • Clinical Features: Typically present as a firm, well-defined mass that is mobile within the breast tissue.
  • Surgical Treatment Protocol:
    • Excision by breast surgeon is the standard treatment, especially for symptomatic or enlarging fibroadenomas.
    • Minimal invasive techniques like ultrasound-guided vacuum-assisted excision are preferred.
  • Evidence-Based Example: A study by Eiada et al. (2019) demonstrated successful outcomes with ultrasound-guided excision for fibroadenomas.

3: Phyllodes Tumor

  • Description: Phyllodes tumors are rare fibroepithelial neoplasms that can range from benign to malignant.
  • Clinical Features: Present with a rapidly growing breast lump that may be palpable.
  • Surgical Treatment Protocol:
    • Wide local excision with clear margins is the primary treatment.
    • Mastectomy may be necessary for large or recurrent tumors.
  • Evidence-Based Example: A meta-analysis by Tan et al. (2017) showed that wide local excision resulted in better outcomes compared to simple excision for phyllodes tumors.

4: Radial Scar

  • Description: Radial scars, also known as complex sclerosing lesions, are benign proliferative lesions of the breast.
  • Clinical Features: Often detected incidentally on imaging studies or during breast biopsy.
  • Surgical Treatment Protocol:
    • Excisional biopsy may be recommended for lesions with suspicious features or diagnostic uncertainty.
    • Close surveillance may be sufficient for asymptomatic lesions with benign radiological features.
  • Evidence-Based Example: Long-term follow-up data from Kuerer et al. (2005) support the safety of conservative management for radial scars without atypia.

Slide 5: Atypical Ductal Hyperplasia (ADH)

  • Description: ADH is a proliferative breast lesion characterized by abnormal growth of cells within breast ducts.
  • Clinical Features: Typically diagnosed incidentally on biopsy performed for other breast abnormalities.
  • Surgical Treatment Protocol:
    • Surgical excision with clear margins is recommended due to the increased risk of subsequent breast cancer.
    • Close surveillance and chemoprevention may be considered in select cases.
  • Evidence-Based Example: A study by Hartmann et al. (2015) demonstrated a significantly reduced risk of breast cancer with surgical excision of ADH.

Slide 6: Lobular Carcinoma In Situ (LCIS)

  • Description: LCIS is a non-invasive proliferation of abnormal cells within the lobules of the breast.
  • Clinical Features: Typically detected incidentally on biopsy and does not form palpable lumps.
  • Surgical Treatment Protocol:
    • Management involves close surveillance with regular breast exams and imaging.
    • Bilateral prophylactic mastectomy may be considered in high-risk patients.
  • Evidence-Based Example: The NSABP B-24 trial showed no difference in breast cancer incidence between observation and tamoxifen treatment following the diagnosis of LCIS.

Slide 7: Nipple Discharge

  • Description: Nipple discharge can be benign or indicative of underlying breast pathology.
  • Clinical Features: Discharge may be spontaneous, bloody, or associated with a breast lump.
  • Surgical Treatment Protocol:
    • Treatment depends on the underlying cause, ranging from observation to surgical excision of the lesion causing the discharge.
  • Evidence-Based Example: A study by Dixon et al. (2019) demonstrated successful outcomes with surgical excision for persistent or troublesome nipple discharge. Dr. Shilpy Dolas is one of the best specialist to treat any kind of nipple discharge from yellowish to brownish. 

Slide 8: Conclusion

  • Benign breast diseases encompass a variety of conditions with diverse clinical presentations and treatment approaches.
  • Surgical intervention is often required for symptomatic or high-risk lesions, with the goal of achieving complete excision and minimizing the risk of recurrence.
  • Evidence-based guidelines and individual patient factors should guide the management of benign breast diseases to optimize outcomes and reduce the risk of future breast cancer development.
Labels:

Comments

Post a Comment

if you have any doubts. let me know. i will try to solve

Popular posts from this blog

Breast Surgeon Near Me

Dr. Shilpy Dolas is among the most skilled and also recognized breast cancer surgeons in Pune . She has dedicated her profession to aiding ladies identified with bust cancer cells, supplying them with the very best in surgical care and therapy. Dr. Dolas is not just an expert in surgical cancer treatment but also breast restoration and Oncoplastic surgery. This makes her one of the country's most complete bust cancer cells specialists.  Dr. Dolas has assisted many ladies through their journey with breast cancer cells, providing the hope and strength they require to eliminate the disease. She is a fundamental idea to all that know her. If you or somebody you know has been diagnosed with bust cancer cells, please do not hesitate to speak to Dr. Dolas for the best care and treatment. In her 20+ years of experience, Dr. Dolas has performed over 5000 Bust Cancer Surgeries with outstanding results. Her area of expertise is not only limited to breast cancer surgeries but also expertise ...
Post a Comment
Read more

Do’s and Don’ts after breast augmentation surgery for quicker recovery

  Before going to breast augmentation surgery, you should know everything about its results and recovery experiences. Talk with your breast surgeon about your concerns regarding the recovery period. Do’s and Don’ts that will help recovery following Breast Augmentation surgery: Do take proper rest After breast augmentation surgery, take proper rest for 2 weeks. It will help to quicker healing. Don’t go for marathons at least for the first few weeks after breast augmentation surgery. Also, don’t do strenuous exercise until your  breast surgeon  gives permission. Gradually increase your activity level by asking your doctor if he or she believes you’re ready for your more arduous workouts or daily activities. Don’t ignore pain and nausea after surgery It is normal to have nausea and pain after  breast augmentation surgery . But if you manage them well, your recovery will be smoother. Of course, extreme pain and nausea can be a warning sign, so always keep your medical te...
Post a Comment
Read more

Understanding Breast Lump: What You Need to Know

  Understanding Breast Lump: What You Need to Know Discovering a breast lump can be alarming, but it is essential to remember that not all lumps are cancerous. Many breast lumps are benign (non-cancerous) and result from normal changes in breast tissue. However, it is crucial to be aware of the different types of breast lumps, their causes, and when to seek medical advice. What is a Breast Lump? A breast lump is a localized swelling or mass within the breast tissue that feels different from the surrounding area. Lumps can vary in size, texture, and tenderness. They can occur in both men and women, though they are more common in women due to hormonal changes. How to Identify a Breast Lump? Identifying a breast lump involves being familiar with the normal feel of your breast tissue. Some signs that indicate the presence of a breast lump include: A distinct mass that feels different from surrounding tissue. Pain or tenderness in the lump area. Changes in breast size or shape. Nipple ...
Post a Comment
Read more