European Journal of Cardiovascular Medicine

Background: Breast cancer is the foremost cause of cancer related death in young females; hence early detection of breast cancer carries much importance. This study is done to determine the incidence of Malignancy in all breast lumps in patient admitted in Department of general Surgery, RAMA medical college and hospital,Hapur. Material & Methods: This Prospective study was conducted between January 2021 to September 2022. 50 consecutive patients admitted in Inpatient department with complaints of a palpable breast mass were included  . Each patient underwent a modified triple test which included a complete clinical examination, ultrasound examination and mammography of the breast mass and finally Fine Needle aspiration and histopathological test of specimen obtained from the breast lump was done.  Results: Out of the 50 patients,12 (24%) patients were between the age group of 10 to 20 years, 12(24%)  patients were in the age group of 21 to 30 years and 13(26%) patients were in the age group of 31to 40 years. 14(28%) patients were nulliparous while 36(72%) were multiparous.  Most of the patients 15 (30%) had symptoms for the duration of 4 to 6 months.Pain over lump was present in 26(52%) patients while nipple discharge was present in 9(18%) patients. Majority of the females (60%) had their onset of menarche between 12-15 years. Upper outer quadrant of the breast was found to be most commonly involved with tumor in 25 (50%). A lump size of 3 to 4 cm in maximal diameter was found in 17 (34%) patients. 35(70%) patients had lumps which were firm in consistency. 38 (76%) patients were subjected to Excision biopsy, 3 patients (6%) were treated with BCS  and 9 patients (18%) underwent Modified Radical Mastectomy. 41(82%) patients with lumps were diagnosed to have benign lesions on histopathology while 9 (18%) patients had malignant lesions. Fibroadenoma was the most common benign breast tumour, seen in 31 out of 41 patients (75%). Of the malignancies proven by histopathology (9 patients), 7 patients had invasive ductal carcinoma (77.8%). Conclusion: Age is important risk factor for malignant lesions. Majority of the females with benign diseases are premenopausal and majority of the patients with malignant lumps are post menopausal in our study. Fibroadenomas are among the most common benign lesions of the breast while invasive ductal carcinoma is the most common of the malignant lesions of the breast.