Aim: To detect the clinical presentation, biopsy and surgery of breast cancer in women at tertiary care hospital in Gujrat, Pakistan.

Study design: Cross sectional descriptive study.

Place and duration of study: This study was conducted in 06 years April 2014 to March 2020 at Aziz Bhatti Shaheed Teaching Hospital Gujrat, Pakistan.

Methods: Total 138 women were selected for study that was having breast lump, breast ulcer or abnormal breast (nipple) discharge. Women were admitted for investigations and further plan for treatment. Breast cancer was diagnosed on history, examination and investigations. Complete blood count, serum studies, ultra-sonography of breast, mammography and breast biopsy was planned.

Results: Total 138 women were enrolled in the study. Women 25-85 years of age were included in the study. Youngest woman was 27 years of age and the oldest was 85 years of age. Thirty two (23.18%) women were less than 50 years of age and 106(76.81%) women were more than 50 years of age.

Conclusions: Breast cancer is the commonest cancer of women and most frequent cause of cancer related deaths. Early diagnosis and appropriate treatment offers the best chance for cure. Histological diagnosis and staging is mandatory prior to treatment. The best treatment of breast cancer is carried out by multidisciplinary team.

Keywords: Breast lump, mammography, nipple discharge