Otieno ES, Kimende, SK, Micheni JN. The pattern of breast diseases at Kenyatta National Hospital. The Annals of African Surgery: 2008 June; Vol 2, pg 97-101..
Comp Biochem Physiol B. 1991;99(4):811-4.. : Kisipan, M.L. Abstract
Objective: To determine the pattern of breast disease at Kenyatta National Hospital (KNH)
Study design: Retrospective descriptive study
Study setting: Kenyatta National Hospital, a University teaching and National Referral Hospital
Patients: Records of 1172 patients were reviewed.
Results: An average 469 new patients per year or 11 new patients per clinic visit were seen at the clinic over a two and a half year period. Females predominated (98.9%) in this series. The mean age was 34.71 years (range 1 to 96 years). The average age at menarche was 14.49 years and the mean duration of symptoms was 6.86 months. Only 2.6% of 843 patients had a positive family history of breast disease. Fibroadenoma was the commonest diagnosis made (33.2%) followed by ductal carcinoma (19.7%). Gynaecomastia was the most common lesion seen in males. Two thirds of patients presenting with tumors had masses measuring more than 5cm. Overall five conditions (fibroadenoma, ductal carcinoma, breast abscesses, fibrocystic disease and mastalgia) accounted for over 85% of all breast ailments. Surgery formed the main stay of care in over 80% of patients.
Conclusions: The pattern of breast diseases at KNH closely mirrors those reported in other studies in the region and beyond. This study indicates that a large proportion of patients presenting with breast disease are treated initially by surgery. It may be wise to consider other alternative forms of therapy where appropriate.
The Annals of African Surgery: 2008 June; Vol 2, pg 97-101.