Background: There are not much information available about benign breast problems like duct ectasia (DE) and periductal mastitis (PDM) even among surgeons and general physicians. The current study aimed to analyse clinical features, procedures as well as surgical modalities associated with these benign breast problems for better understanding of the disease progression and treatment

Methodology: This is a prospective study with sample size of 42 patients conducted in M S Ramaiah teaching hospital, Bangalore conducted between October 2020 to September 2022.

Results: In this study, patients  presented with nipple discharge, breast lump, itching over nipple areolar complex, nipple retraction and breast pain were included. Based upon the symptoms, appropriate investigations like USG, Mammography, FNAC, Cytology of nipple discharge and MRI breast was done. Patients were diagnosed with, Duct ectasia, Duct papilloma, Periductal mastitis and Pituitary adenoma. Appropriate treatment like wide local excision, Microdochectomy, Hadfield’s procedure, conservative treatment were given. A correlation between symptoms, diagnosis and management was done to analyse BBDDs.

Conclusion: Ductal diseases are considered as benign breast problems with unknown etiology. Nipple discharge, breast lump and breast abscess are some of the most common symptoms associated with these problems. In most of these BBDDs conservative management has been proved as the appropriate modality of treatment. With an appropriate guide to diagnosis and management, most ductal diseases can be treated accurately.