Socio-demographic, pattern of presentation and management outcome of breast cancer in a semi-urban tertiary health institution.

Autor: Olaogun JG; Department of Surgery, Ekiti State University, Ado-Ekiti, Nigeria., Omotayo JA; Department of Anatomic Pathology, Ekiti State University, Ado-Ekiti, Nigeria., Ige JT; Department of Surgery, Ekiti State University, Ado-Ekiti, Nigeria., Omonisi AE; Department of Anatomic Pathology, Ekiti State University, Ado-Ekiti, Nigeria., Akute OO; Department of Surgery, Ekiti State University, Ado-Ekiti, Nigeria., Aduayi OS; Department of Radiology, Ekiti State University, Ado-Ekiti, Nigeria.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2020 Aug 28; Vol. 36, pp. 363. Date of Electronic Publication: 2020 Aug 28 (Print Publication: 2020).
DOI: 10.11604/pamj.2020.36.363.17866
Abstrakt: Introduction: breast cancer is the most common malignancy in females worldwide and a major cause of cancer-related deaths in both developing and developed countries. The objective of this study was to determine the socio-demographics, pattern of presentation and management outcome of breast cancer patients.
Methods: clinical records of confirmed breast cancer patients between January 2011 and December 2015 at the Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria were reviewed.
Results: eighty two breast cancer patients were seen. Their ages ranged from 26-95 years (mean 48.9 ± 14.9 years, median 47.5 years). Eighty one (98.8%) were females and the majority (65.4%) were premenopausal. The peak age of incidence was in the 4 th decade. All patients presented with breast lump with mean duration of 9.49±6.1 months and size ranging from 2 to 16cm (mean 7.9±3.4 cm). Ten (12.2%) patients presented early, 61 (74.4%) were locally advanced while 11 (13.4%) had distant metastases. Fifty one (62.2%) patients had mastectomy. Only 38 (46.3%) patients completed six courses of chemotherapy. None had immunohistochemistry but they all routinely took tamoxifen. Only 4 (4.9%) had radiotherapy. Nineteen (23.2%) died within a year of presentation. The follow-up period ranged between 1 and 44 months (mean, 10.3 months). Thirty one (37.8%), 19 (23.2%) and 8 (9.8%) patients were seen during the first, second and third year of follow up respectively.
Conclusion: breast cancer mostly affects young premenopausal women presenting in advanced stage in our setting. The generally poor outcome is not unconnected with late presentation and inadequate diagnostic and treatment facilities.
Competing Interests: The authors declare no competing interests.
(Copyright: Julius Gbenga Olaogun et al.)
Databáze: MEDLINE
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