Epidemiology and Histology Aspects of Breast Cancers of Women in Ivory Coast
- 1 Department of Pathology of the University Teaching of Cocody, Abidjan, Ivory Coast
- 2 Department of Pathology of the University Teaching of Cocody, Abidjan, Ivory Coast
- 3 Department of Pathology of the University Teaching of Treichville, Abidjan, Ivory Coast
- 4 Department of Pathology of the University Teaching of Cocody, Abidjan, Ivory Coast
- 5 Department of Gynecology of the University Teaching of Cocody, Abidjan, Ivory Coast
- 6 Department of Pathology of the University Teaching of Cocody, Abidjan, Ivory Coast
- 7 Department of Pathology of the University Teaching of Bouake, Abidjan, Ivory Coast
- 8 Department of Pathology of the University Teaching of Cocody, Abidjan, Ivory Coast
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.
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