PATTERN OF BREAST DISEASE PRESENTATION IN CANTONMENT GENERAL HOSPITAL (CGH) RAWALPINDI

摘要

OBJECTIVE: To determine the pattern of breast disease presentation in different age groups presenting to Cantonment General Hospital Rawalpindi. STUDY DESIGN: A retrospective descriptive study Place and Duration: Conducted at Department of General Surgery, Cantonment General Hospital Rawalpindi from 1st January 2005 to 31st December 2010. METHODOLOGY: All patients operated during the study period from 1stJanuary 2005 to 31st December 2010 for breast diseases irrespective of their age and sex were included in the study. Exclusion criteria were non availability of histopathology or culture reports in the patient's files. Age at presentation Symptoms, clinical features, investigations, operative findings and specimen reports were recorded and submitted for analysis. RESULTS: A total of 362 patients were included. Fibro adenoma was the commonest (36.46%). Breast abscess (23.76%) was the 2nd commonest and fibrocystic disease (20.17%) was the 3rd common disease in our study. Carcinoma breast was the 4th common disease (11.88%) found in females. Lump breast was the most common symptom present in 310 (85.16%) patients. Pain in the breast was found in 59.66%, while pain and lump were present in 40.60% of patients. Among carcinoma breasts, intra ductal carcinoma was the commonest (67.44%) with the mean age of 43 years followed by malignant phylloides tumour (16.28%) with the mean age of 39 years. CONCLUSION: Fibro adenoma is the commonest disease but the pattern is rapidly changing towards fibrocystic disease especially in young females. Incidence of Inflammatory disease increases in peak reproductive age group. Carcinoma breast presents late in our setups.