Pattern of breast diseases in a teaching hospital in Jeddah, Saudi Arabia
Jamal, A.A.
Saudi Medical Journal 22(2): 110-113
2001
ISSN/ISBN: 0379-5284 PMID: 11299401 Document Number: 534462
The aims of this case series study are to evaluate the outline and pattern of male and female breast diseases in Saudi Arabia and compare 8 studies in literature discussing the profile of malignant and benign female breast diseases. We hope that this study will assist us to appreciate the prototype breast diseases in our region. Our study consisted of 1084 consecutive male and female breast lesions. Data on these specimens, received between January 1984 and March 2000, was retrieved from the records of the laboratory. The outline of breast lesions were tabulated and classified into inflammatory, benign and malignant lesions. In female breasts, benign lesions comprised 57% of all lesions (mean age 28.5 years); most commonly reported lesions were fibroadenoma (47%), fibrocystic disease (22%) and fibroadenosis (14%). Malignant lesions comprised 32.5% of all lesions (mean age 48.49 years); most commonly reported lesions were ductal carcinoma (88%) and lobular carcinoma (4.5%). Inflammatory lesions comprised 11% of all lesions (mean age 35.0 years); most commonly reported lesions were chronic mastitis (31%) and ductectasia (19%). Male benign lesions comprised 55 cases (87%). Eight cases (13%) of malignant lesions, 6 ductal carcinomas and 2 metastatic adenocarcinomas, were also identified. The rates for female breast lesions varied in different studies but benign fibroadenoma constituted the most common breast lesion, followed by ductal carcinoma. The mean age for malignant lesion in 7 different studies was 44.05 years. In the male breast, carcinomas constituted 3% of all breast carcinomas. Gynecomastia (54%) was the most common male breast lesion.