TITLE:
Management of Inflammatory Breast Cancers in Subsaharian Africa Context
AUTHORS:
Jean Marc Dia, Lydie Estelle Djanhan, C. Saki, Mouhideen Oyéladé, Gérard Okon, Abdoulaye Camara, Abdoulaye Diallo, Privat Guié, Simplice Anongba
KEYWORDS:
Inflammatory Brest Cancers, Epidemiology, Diagnosis, Treatment
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.1,
January
5,
2018
ABSTRACT: Objective: To report the
experience of Gynecology Department of the University Hospital of Treichville
in the management of the inflammatory breast cancers. Methodology: We conducted a retrospective and descriptive study on
cases of the
inflammatory breast cancers managed in the Gynecology Department of the
University Hospital of Treichville, from January 2011 to December 2015. Results: We collected 44 cases of
inflammatory breast cancer representing 17.9% of all breast cancers. The
average age of patients was 46.5 years (32 - 70 years) and among them, the
majority had inadequate socioeconomic level (90.9%). The risk factor for cancer
found in the majority of patients was the age of first menstrual periods before the
age of 12 years (52.3%). The
average consultation time was long (10 months) and several patients had
extensive inflammatory
signs (38.6%), with lymph node involvement (84.1%) and metastases (36.4%). At
the histological analysis, the most common type was invasive ductal carcinoma
(81.8%), SBR grade III (54.5%). Regarding treatment, mastectomy according to
Patey associated with a chemotherapy was performed in 22.7% cases. The
evolution has been marked by an overall 5-year survival of 20%. Conclusion: The management of inflammatory breast cancers was
late and incomplete in our service making poor prognosis.