Nwafor Chukwuemeka Charles, Udo Isaac Assam
Department of Pathology, University of Uyo, Uyo, Akwa Ibom State, Nigeria.
Department of Surgery, University of Uyo, Uyo, Akwa Ibom State, Nigeria.
Niger J Surg. 2018 Jul-Dec;24(2):76-81. doi: 10.4103/njs.NJS_29_17.
The breast is a common site for pathologies which predominantly involves the female breast. While benign diseases are more common, malignancies are of utmost concern for the patient, clinician, and the pathologist.
The aim of this study is to audit the clinical and pathological features of patients with breast lumps in a tertiary center in Nigeria.
This is a retrospective observational study of histologically diagnosed breast lumps over a period of 8 years.
Lumps were common in the 20-39 years age group (>50%), with a mean age of 34.95 years. Females accounted for 759 (98.1%) of cases. In 467 (60.4%) cases, the lumps measured >5 cm and only 175 (22.6%) cases presented to the surgeon within 12 weeks of noticing a breast lump. Ninety-one (11.8%) cases also presented with axillary lymph nodes, breast pain 79 (10.2%), peau d' orange 56 (7.2%), and ulceration 47 (6.1%). Benign breast disease (BBD) occurred in 401 (51.8%) cases and malignant breast diseases (MBD) occurred in 344 (44.3%) of cases.
BBD and MBD are common among the young in Uyo. Lumps are the primary complaint and late presentation is the norm.
乳腺是主要累及女性乳房的常见病变部位。虽然良性疾病更为常见,但恶性肿瘤是患者、临床医生和病理学家最为关注的问题。
本研究旨在审核尼日利亚一家三级中心乳腺肿块患者的临床和病理特征。
这是一项对8年间经组织学诊断的乳腺肿块进行的回顾性观察研究。
肿块在20 - 39岁年龄组最为常见(>50%),平均年龄为34.95岁。女性占病例的759例(98.1%)。在467例(60.4%)病例中,肿块尺寸>5 cm,只有175例(22.6%)在发现乳腺肿块后12周内就诊于外科医生。91例(11.8%)病例还伴有腋窝淋巴结肿大,79例(10.2%)有乳房疼痛,56例(7.2%)有橘皮样改变,47例(6.1%)有溃疡形成。良性乳腺疾病(BBD)发生于401例(51.8%)病例,恶性乳腺疾病(MBD)发生于344例(44.3%)病例。
在乌约,BBD和MBD在年轻人中较为常见。肿块是主要症状,就诊延迟是常态。