Abstract
Breast cancer is a major public health problem both in developed countries, where it represents the first female cancer, and in developing countries, where its incidence is increasing. Purpose: The authors report the results of a study whose objective was to describe the epidemiological and pathological features of women’s breast cancers in Ivory Coast. Material and Methods: This is a retrospective descriptive study on breast cancer histologically confirmed and made from the records of pathology laboratories of the University Hospital in Abidjan. The study period was 24 years (1984-2007). The parameters studied were: frequency, age, risk factors, the macroscopic and histological aspects. Results: Women’s breast cancer was the second cancer among women (13.69%) after cervical cancer and represented 6.51% of cancers. The average age was 45.21 years ranging from 10 years to 85 years. Subjects from 35 to 44 years were the most affected (30.7%) and 8% of patients were under 30 years (n=61). Multiparity (53.55%) and lower socioeconomic level (79.63%) were associated. At the macroscopic level nodular aspects represented 47.62% of cases (n=301). Carcinomas were 92% (n=710) of histological types with 94.36% (n=692) of invasive carcinomas. Sarcomas (5.7%), lymphoma (2.1%) and Paget’s disease (0.3%) were also observed. With regard to prognostic, the grading of Scarff-Bloom and Richardson showed 26.75% (n=156) grade I, 60.64% (n=354) grade II and 12.52% (n=73%) grade III. Conclusion: In consideration of prognosis of advanced forms, an effort should be made for diagnosis and early treatment of women’s breast cancer in Ivory Coast.
Highlights
Breast cancer is the most common cancer of women worldwide and represents approximately 16% of all female cancers
In consideration of prognosis of advanced forms, an effort should be made for diagnosis and early treatment of women’s breast cancer in Ivory Coast
The values of these two laboratories only partially reflect the reality on the Ivorian breast cancer, they allow to notice the importance of this cancer that is increasing in our country (13.67% in 2010 in our compared study to the series of Diomandé (10.52% in 1988) [3]
Summary
Breast cancer is the most common cancer of women worldwide and represents approximately 16% of all female cancers. According to WHO, 519,000 women died in 2004 and 69% of cancer deaths are from breast [1]. This is a complex disease influenced by many risky factors. Environmental and demographic factors on the one hand. On the other hand, the hormonal factors and those related to reproduction, lifestyle and eating habits. It manifests itself as a breast lump sometimes associated with mastodymia, nipple discharge and retraction with axillary nodes affected in advanced forms
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