Epidemiology and Histology Aspects of Breast Cancers of Women in Ivory Coast

Justin N’Dah Kouame, Emile Troh, Emmanuel Koffi Kouakou, Brahima Doukouré, Arthur Didier Kouame, Alain Didier Abouna, Benjamin Ahoua Effi, Mohenou I Diomandé

Department of Gynecology of the University Teaching of Cocody, Abidjan, Ivory Coast.
Department of Pathology of the University Teaching of Bouake, Abidjan, Ivory Coast.
Department of Pathology of the University Teaching of Cocody, Abidjan, Ivory Coast.
Department of Pathology of the University Teaching of Treichville, Abidjan, Ivory Coast.

DOI: 10.4236/jct.2012.325098                

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.

Keywords

Cancer; Breast; Epidemiology; Pathology; Ivory Coast

Conflicts of Interest

The authors declare no conflicts of interest.

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