Mammography, Ultrasound and Histological Proﬁles of Female Breast Cancer in Abidjan
Profiles of Female Breast Cancer
Background: To identify mammo-echographic lesions suggestive of woman breast neoplasia and to specify histopathological profile. Subjects and Methods: A 4-month retrospective study conducted at the new senology unit of the Treichville University Hospital. This study included 68 patients with breast cancer, diagnosed with mammography, breast ultrasound and echo-guided mammary biopsy and histological evidence. Results: The mean age was 45.92 years. The discovery circumstance was a palpable nodule (75%). Lesions were located on the left (57.3%), in the superior external quadrant (34%) and in the middle 1/3 (57.3%). The mammography showed a b-type density (54.4%), a dense mass (92.6%) without micro calcification (59%) of large size (42 mm), an irregular shape (81%), with unconfined shapes (89%). On ultrasound, lesions were hypo-echogenic (95.6%), heterogeneous (77%), non-parallel to the dermal plane (80%), with posterior attenuation (69%). All these lesions were associated with dermal changes (89.5%), edema (63.1%) and group I (97.4%) adenoma (56%).The lesions were classified as BI RADS 5 (63.2%). Non-specific infiltrating carcinoma predominated (83.8%) in Elston Ellis II histo-prognostic grade (52%). Conclusion: In Abidjan, women’s breast cancer is characterized by pejorative prognostic radiopathological factors, associating in young patients, large masses of infiltrating carcinoma, with a high rate of carcinomatous mastitis. Promoting mass breast cancer screening policy in our country should be imperative.
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