Problem of Breast Cancer Management in the Obstetric-Gynecologic Department of the National Hospital Donka, Teaching Hospital-Conakry
Objective: Describe the diagnosis, therapeutic and prognostic aspects of breast cancer and analyze the survival rate of patients. Materials and methods: We conducted a quasi-retrospective descriptive and analytic study of 4 years from 1st January 2010 to 31st December 2013, folders of women histologically confirmed with breast cancer and consent was gotten through telephone contact. We described clinical and therapeutic characteristics, survival analyses was done using Epi-info 3.5, SPSS version 18 software with a significance level p<0.05 and survival by Kaplan Meier. Results: Breast cancer was confirmed in 12.62% with 3-month waiting time for histology result in clinically advanced stages (89.5%) and infiltrating ductal carcinoma (64.61%). Patients were aged 47.5 ± 8.5 years old, multiparous (66.69%), housewife (69.23%), uneducated (67.70%), referred (98.46%) and treated with chemotherapy for an overall survival of 23.07% at 5 years. Conclusion: Infiltrating ductal carcinoma of the breast is frequent in the clinically advanced stage, treated with chemotherapy for uncertain survival at 5 years. Improving the survival and quality of life of women requires sensitization and training of women and health providers in breast palpation for early detection and treatment.
Camara MK, Sy T, Leno DWA, Diawara F, Traore B, Hijazi Y and Keita N