Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study

Introduction: A small percentage of men are affected by breast diseases and awareness of male breast disease is less and presentation is often delayed due to embarrassment. The most common presentation is gynaecomastia, where cosmetic correction is sought. Over the last two decades the rate of male...

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Main Authors: Kailas Chaudhari, Anitha Kandi, Suresh Harbade, Sameer Rathod, Sarojini Jadhav
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2023-01-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:https://ijars.net/article_fulltext.aspx?issn=0973-709x&year=2023&month=January&volume=12&issue=1&page=SO05%20-%20SO09&id=2863
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author Kailas Chaudhari
Anitha Kandi
Suresh Harbade
Sameer Rathod
Sarojini Jadhav
author_facet Kailas Chaudhari
Anitha Kandi
Suresh Harbade
Sameer Rathod
Sarojini Jadhav
author_sort Kailas Chaudhari
collection DOAJ
description Introduction: A small percentage of men are affected by breast diseases and awareness of male breast disease is less and presentation is often delayed due to embarrassment. The most common presentation is gynaecomastia, where cosmetic correction is sought. Over the last two decades the rate of male breast complaints increased from 0.8% to 2.4%, while 1% of all breast cancer occur in males. Aim: To study the pattern of various male breast diseases in a tertiary care centre of Aurangabad District in Maharashtra, India. Materials and Methods: This prospective clinical interventional study was carried out in 44 male patients above age of 12 years coming with complaints related to breast to Department of General Surgery of Government Medical College, Aurangabad from 1st August 2017 to 31st July 2019. Detailed history was taken and any underlying causative disease/risk factor or medication if any was noted. Thorough clinical examination and laboratory investigations were done. Ultra-sonography of breast was done in all patients. Mammography was done in three patients who were having clinical suspicion of malignancy. Continuous variables were presented as mean, Standard Deviation (SD) or median if the data is unevenly distributed. Categorical variables are expressed as absolute numbers and percentages. Data was analysed using Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The youngest patient was 12 years old and eldest was 85 years old. In the present study, 38 benign and 6 malignant male breast diseases were diagnosed. Out of total, 33 had gynaecomastia, 2 had breast abscess, 5 Infiltrating duct carcinoma and 1 each of mastitis, eczema of nipple, sebaceous cyst of areola and primary breast sarcoma. Out of 44 patients, 12 patients underwent surgery for benign and malignant breast diseases, 24 patients of gynaecomastia were managed by reassurance, 5 males with infiltrating ductal carcinoma were managed by modified radical mastectomy and 3 patients by medical therapy. Conclusion: It was concluded that benign male breast diseases were more common and ultrasound together with mammography should be used to differentiate characteristics of benign and malignant male breast lesions.
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spelling doaj.art-3cac7b73d6cc41bfaea6e598e3ea3b332023-01-19T07:17:51ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742023-01-01121SO05SO0910.7860/IJARS/2023/55577.2863Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional StudyKailas Chaudhari0Anitha Kandi1Suresh Harbade2 Sameer Rathod3Sarojini Jadhav4Senior Resident, Department of General Surgery, Government Medical College and Hospital, Aurangabad, Maharashtra, India.Associate Professor, Department of General Surgery, Government Medical College and Hospital, Aurangabad, Maharashtra, IndiaAssociate Professor, Department of General Surgery, Government Medical College and Hospital, Aurangabad, Maharashtra, India. Junior Resident, Department of General Surgery, Government Medical College and Hospital, Aurangabad, Maharashtra, India.Professor and Head, Department of General Surgery, Government Medical College and Hospital, Aurangabad, Maharashtra, India. Introduction: A small percentage of men are affected by breast diseases and awareness of male breast disease is less and presentation is often delayed due to embarrassment. The most common presentation is gynaecomastia, where cosmetic correction is sought. Over the last two decades the rate of male breast complaints increased from 0.8% to 2.4%, while 1% of all breast cancer occur in males. Aim: To study the pattern of various male breast diseases in a tertiary care centre of Aurangabad District in Maharashtra, India. Materials and Methods: This prospective clinical interventional study was carried out in 44 male patients above age of 12 years coming with complaints related to breast to Department of General Surgery of Government Medical College, Aurangabad from 1st August 2017 to 31st July 2019. Detailed history was taken and any underlying causative disease/risk factor or medication if any was noted. Thorough clinical examination and laboratory investigations were done. Ultra-sonography of breast was done in all patients. Mammography was done in three patients who were having clinical suspicion of malignancy. Continuous variables were presented as mean, Standard Deviation (SD) or median if the data is unevenly distributed. Categorical variables are expressed as absolute numbers and percentages. Data was analysed using Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The youngest patient was 12 years old and eldest was 85 years old. In the present study, 38 benign and 6 malignant male breast diseases were diagnosed. Out of total, 33 had gynaecomastia, 2 had breast abscess, 5 Infiltrating duct carcinoma and 1 each of mastitis, eczema of nipple, sebaceous cyst of areola and primary breast sarcoma. Out of 44 patients, 12 patients underwent surgery for benign and malignant breast diseases, 24 patients of gynaecomastia were managed by reassurance, 5 males with infiltrating ductal carcinoma were managed by modified radical mastectomy and 3 patients by medical therapy. Conclusion: It was concluded that benign male breast diseases were more common and ultrasound together with mammography should be used to differentiate characteristics of benign and malignant male breast lesions.https://ijars.net/article_fulltext.aspx?issn=0973-709x&year=2023&month=January&volume=12&issue=1&page=SO05%20-%20SO09&id=2863gynaecomastiamammographymastitis
spellingShingle Kailas Chaudhari
Anitha Kandi
Suresh Harbade
Sameer Rathod
Sarojini Jadhav
Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study
International Journal of Anatomy Radiology and Surgery
gynaecomastia
mammography
mastitis
title Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study
title_full Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study
title_fullStr Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study
title_full_unstemmed Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study
title_short Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study
title_sort pattern of various male breast diseases in a tertiary care centre of aurangabad district maharashtra india a prospective interventional study
topic gynaecomastia
mammography
mastitis
url https://ijars.net/article_fulltext.aspx?issn=0973-709x&year=2023&month=January&volume=12&issue=1&page=SO05%20-%20SO09&id=2863
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