TITLE:
Epidemiological, Diagnostic and Therapeutic Aspects of Breast Cancer in the Gynecology and Obstetrics Department of the CHU Gabriel Touré from 2020 to 2022
AUTHORS:
Sirama Diarra, Moussa Samake, Amaguiré Saye, Brehima Dembélé, Birama Traoré, Souleymane B. Dembélé, Déssé Diarra, Yely Dianéssy, Abdou Guiré, Bakarou Kamate
KEYWORDS:
Epidemiology, Diagnosis, Therapeutics, Breast Cancer, Bamako (Mali)
JOURNAL NAME:
Advances in Breast Cancer Research,
Vol.12 No.3,
July
11,
2023
ABSTRACT: In Mali,
breast cancer remains a real health problem in the absence of an adequate and
adapted health policy for their early diagnosis and their often late or even non-existent treatment. Objectives: This study aimed to study the epidemiological, diagnostic, and therapeutic aspects of breast cancer to
write the clinical aspects of breast cancer in the gynecology-obstetrics
department of the CHU Gabriel Touré from 2020 to 2022. Methodology: This was
a retrospective and descriptive study of 219 cases of breast cancer that were
diagnosed in the gynecology and obstetrics department of the CHU Gabriel Touré
in Bamako, from 2020 to 2022. Results: The annual frequency was 77.2 cases per year, the average age 45.55
years with extremes of 16 to 85 years; housewives represented 92.7%; multiparas were reported at 57%. Considering the history, the personal
history of benign breast pathology was 55.6%. Regarding the localization, the
left breast was the most affected with 53.9%, and the tumor was found in the supero-external quadrant
in 53.9%. The cancer was metastatic in 81.28%. The diagnosis biopsy + histology
contributed to 98.6%. The histological type was invasive carcinoma of
non-specific type in 95%. As for the histoprognostic grade of SBR studied,
grade II was predominant at 46%, grade III at 34.95%. The therapeutic strategy
was chemotherapy in 83.1%. Neoadjuvant chemotherapy followed by surgery in 10%,
primary surgery in 6.4%, radiotherapy in 0.5%. Conclusion: The major
challenges in the fight against breast cancer in Mali remain a better
organization of the system for early diagnosis, the establishment of a
screening program, early diagnosis in women from the age of 40 and also
adequate care.