ABSTRACT

Background Fibro-adenoma of breast, the most common benign breast condition among women under 35 years of age, accounts for up to 94% of all biopsied breast lumps. Despite no necessary need, the fibro-ademoais often excised due to incumbent anxietyand asymmetry (if enlarged). The excision methods are many with an even greater variety of incisions practiced in each technique, yet no consensus exists regarding the best incision for the excision of multiple and recurrent fibroadenomas. Objective To determine the surgical outcome following peri-areolar incision for the excision of multiple and recurrent fibro-adenomas. Methodology This cross-sectional analysis was carried out from November 2018 to January 2019 upon a sample of 87 female patients (aged 15 to 35), presenting to the Dept. of Surgery at Dow University Hospital, Karachi with multiple and recurrent fibro-adenomas (chosen via nonprobability, purposive sampling). Data obtained regarding surgical outcome (in terms of areolar necrosis, loss of nipple sensation, hematoma, surgical site infection and patient satisfaction) was recorded onto a self-structured proforma after taking written informed consent. The data obtained was analyzed using SPSS v. 22.0. Results Surgical site infection, hematoma, Loss of nipple sensation and areolar necrosis were reported on first follow-up among 12.64%, 9.2%, 8% and 5.75%of the patients respectively. The aesthetic outcome was perceived good in majority (65.52%) of the patients on last final follow-up. Conclusion After careful consideration, it can be concluded that peri-areolar incision for the excision of multiple and recurrent fibro-adenomas offer great promise of favorable outcome. Keywords: Fibro-Adenoma, Breast Lump, Breast Surgery, Peri-Areolar Incision and Surgical Outcome
Publication date: 01/05/2020

https://ijbpas.com/pdf/2020/May/MS_IJBPAS_2020_5057.pdf

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https://doi.org/10.31032/IJBPAS/2020/9.5.5057