Clinico-Pathological Study of Benign Breast Diseases in a Tertiary Care Hospital

Background: Benign breast diseases (BBD) are a heterogeneous group of disorders significantly more prevalent than breast cancer. They represent a critical area of concern due to their high incidence and the anxiety they cause among patients. Understanding the clinico-pathological features of BBD is essential for accurate diagnosis and management. Methods: A prospective study was conducted on 60 female patients presenting with breast complaints at Govt. Medical College & Hospital, Kota, from February 2020 to December 2021. Detailed history, clinical examination, and relevant investigations including Fine Needle Aspiration Cytology (FNAC) and mammography were performed. Surgical interventions were carried out when indicated, and excised specimens were subjected to histopathological examination. Results: The most common BBD was fibroadenoma (48%), followed by fibroadenosis (30%). The majority of patients were between 21-30 years of age. The right breast was more frequently involved (61.66%), with the upper outer quadrant being the most common site (38.33%). Lump in the breast was the predominant symptom, with 50% presenting with painless lumps. Surgical excision was the mainstay of treatment in 83.33% of cases. Histopathological examination confirmed the clinical diagnoses. No recurrences were noted during the follow-up period. Conclusion: Fibroadenoma and fibroadenosis are the most common benign breast diseases among women in the reproductive age group. Clinical examination, supported by imaging and histopathology, is crucial for accurate diagnosis. Surgical excision remains the primary treatment modality, with excellent outcomes.