CT-Scan and Anatomopathological Profile of Breast Cancer at the ''Mother-Child'' University Hospital Center in Luxembourg

Abstract

Introduction: Breast cancer results from an anarchic malignant proliferation of abnormal cells of the mammary gland and is the first most common cancer in women in developed countries with 50,000 new cases estimated in 2008. The aim of our work was to describe the socio-demographic characteristics of the patents, to determine the different sites and the frequency of metastases and to describe the scanographic and histological aspects in the diagnosis of extension; therapy and assessment. Materials and Methods: Our study was a descriptive retrospective over a period of 12 months from January 2020 to December 2020 at the radiology and medical imaging department of CHUME Luxembourg. It concerned all patients with histologically confirmed breast cancer who had undergone a CT scan before treatment, during treatment or during therapeutic follow-up. The examinations were carried out by a HITACHI SUPRIA 16 BARRETTES brand CT scanner installed in 2015. Results: During the period of our study, the frequency of breast cancer was 10.7% (130 cases) out of 1204 scans carried out with a female predominance of 98%, an average age of 52 years and extremes of 12 at 90 years old. The main metastases found on computed tomography were: lung (59%), followed by lymph node (66%), bone (51%), liver (29%) and brain (2%) metastases. The association of lung, lymph node, liver and bone metastasis represented 27% of the most frequent associations. As for the histological aspect, the infiltrating carcinoma of the non-specific grade II SBR and TNM type was the most frequent. Conclusion: The scanner and the anatomopathology have a capital contribution in the diagnosis and the search for secondary localizations for a good management of the neo of the breast.