Epidemiological, Diagnostic and Therapeutic Aspects of Breast Cancer in the Gynecology and Obstetrics Department of the CHU Gabriel Touré from 2020 to 2022
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
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