BREAST MASS MANAGEMENT; AN INTERVENTIONAL STUDY.

Background:- The breasts are present in both sexes and have similar characteristics until puberty when, in the female, they enlarge and develop the capacity for milk production. The breasts are essentially specialized skin glands comprising fat, glandular and connective tissue. The protuberant part of the human breast is generally described as overlying the second to the sixth ribs and extending from the lateral border of the sternum to the anterior axillary line. A dominant breast mass requires histologic diagnosis. The management of a solid mass depends on the degree of clinical suspicion and the patient's age. Objective:- The aim of the study is diagnose the causes of the breast mass and the management of this problem. Patients and methods:- This is an interventional study on 100 patients with breast mass with or without breast pain or nipple discharge or gynecomastia from the period of June 2015 to July 2016. All patients completed a questionnaire including age, sex, occupation, residence, present symptoms and duration, previous medical and drugs history, previous surgical history, social history and family history. Clinical and physical examination were done to all patients. Completed all investigation including laboratory and radiological investigation, ultrasound, CT scan, and MRI accordingly. Incisional or excisional biopsy were done to all patients, with or without Fine needle aspiration cytology before it. Results:- One hundred patients were studied, 97 female (97%) and 3 male (3%).The female to male ratio was 32.33:1.The age ranged from 11 to 90 years,with a mean age 40 years + 5 years.The majority being in the 4th decade of life, constituting 24 patient (24%). Also the study showed that the causes of the breast mass are fibroadenosis 28 patients (28%), the next was fibroadenoma 19 patients (19 %), followed by breast cancer 15 patients (15%), breast abscess 5 patients (5%), ductectesia 5 patients (5%), fat necrosis 5 patients (5%), chronic mastitis 5 patients (5%), intraductal papilloma 5 patients (5%), galactocele 4 patients (4%), lipoma 4 patients (4%), gynecomastia 3 patients (3%), granuolomatous mastitis one patient (1%), and phyllodes tumour one patient(1%). Conclusion:- Breast mass is a common universal condition in clinical practice and remain a major medical and surgical problem and need good assessment to the patients to detect the malignant breast disease as soon as possible in the early stage and treated the condition before local or general metastases occurs.