Maria Shabbir Saria, Masoom Raza Mirza.
Breast diseases presenting during pregnancy and lactation.
J Surg Pak Jan ;15(3):147-50.

Objective To study the pattern of breast diseases presenting during pregnancy and lactation. Study design Descriptive case series. Place & Duration of study This study was conducted from January 2009 to January 2010 at Hamdard University Hospital, Burhani Hospital and Kutiyana Memon Hospital in Karachi where the authors practice. Methodology Pregnant and / or lactating women presenting with complaints related to breast were included in the study. A detailed history and examination findings were recorded on a proforma. Professional liaison was maintained with obstetrician and oncologist during the treatment period. Investigations and given treatment were also recorded in all cases. Results A total of 43 patients between 16 years to 40 years were included in the study, out of which 11 (25.6%) were pregnant and 32 (74.4%) lactating women. Thirty five patients were treated for various benign breast diseases which included 23 cases of breast abscess. Eight patients were diagnosed as carcinoma breast and underwent modified radical mastectomy and axillary clearance followed by chemotherapy and radiotherapy. Conclusions Majority of breast diseases associated with pregnancy and lactation were inflammatory and infectious; however, carcinoma is not a rare entity. Therefore any woman presenting with a breast lump should be thoroughly investigated following the principles of triple assessment.

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