Pronostic du cancer du sein chez les femmes tunisiennes : analyse d'une série hospitalière de 729 patientes

Ahmed, Slim Ben; Aloulou, S; Bibi, M.; Landolsi, Amel; Nouira, M.; Fatma, L. Ben; Kallel, Lamia; Gharbi, Olfa; Korbi, S.; Khaïri, H.; Kraiem, C.

doi:10.3917/spub.023.0231

Cited by 30 publications

(19 citation statements)

References 9 publications

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“…This rate is similar to those of 48,4 . Most cancers were occurred in the upper outer quadrants, with more than38.5%.,the same result was found in these studies 13,48 .Predominanceof breast cancer laterality can be explained by breastfeeding practices, the majority of our patients prefer to breastfeed their children on the left breast. Breast cancer bilateral form was found in only one patient in our series.…”

Section: Resultssupporting

confidence: 75%

“…Identical were finding for 13,48,47,53 . According to 54 , breast self examination permits the detection of a 30% reduction in cumulative breast cancer mortality.…”

Section: Resultsmentioning

confidence: 66%

“…58.5%of patients have been taking oral contraceptives for an average duration of use was 6.81 years (0. [5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Age of at the first time of using oral contraceptive was ranged from age 18 to 35 years (mean 25.95).…”

Section: Resultsmentioning

confidence: 99%

“…Breast cancer is the leading cause of death among women in Europe 10 . It is also considered as the first female cancer in Morocco 11 , Algeria 12 , Tunisia 13 , and Jordan 14 with a particularity affecting young woman. Age is considered a worse prognostic indicator 6,15 .…”

Section: Introductionmentioning

confidence: 99%

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Breast Carcinoma in Younger Algerian Eastern Women: Epidemiological Profile in Series of 135 Cases

Henouda¹

2015

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Abstract:Background: Actually, Breast cancer constitutes one of the most health problems in Algeria, and the leading cause of death among Algerian women. Breast cancer in young women is a rare form, but it has an aggressive behavior associated with a poor prognosis. Aims: this study focuses to report breast cancers phenotype in Algerian younger women. Material and methods: In order to better understand the determinants and tumor biology may explain earlier onset and aggressive breast cancers characteristics in Algeria from December 2011 to July 2014, 135 patients aged 40 years and under diagnosed with breast cancer were included in the study. Results: One hundred thirty-five women recorded, 65.9% patients were aged between 36-40 years. The mean age was 36.29 years. A significantly higher proportion of women were overweight or obese (62.9%). 75.6% patientshad full-term pregnancy. 29.6% breast cancers were diagnosed during pregnancy or after childbirth. 34.1% patients had a family history. In 87.4% of cases the revealing sign was nodule self-examination. Stage II and III associated with nodal extension, higher pathological grade, HR positive, were predominant. Neo-adjuvant was administered to 17.8%. 74.1%patients underwent radical mastectomy using Patey technique with complete axillary dissection.40.7% patients had distal metastases after diagnosis. The mean clinical tumor size was 4.88 cm.71.1% of tumors were invasive ductal carcinoma.69.9% patients had no family history. Conclusion: Breast tumors among Algerian young women are advanced with poor prognosis.

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Section: Resultssupporting

confidence: 75%

“…Identical were finding for 13,48,47,53 . According to 54 , breast self examination permits the detection of a 30% reduction in cumulative breast cancer mortality.…”

Section: Resultsmentioning

confidence: 66%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Breast Carcinoma in Younger Algerian Eastern Women: Epidemiological Profile in Series of 135 Cases

Henouda¹

2015

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“…Alors que la reconstruction diffé-rée était la règle dans le passé, les progrès réalisés dans les techniques de RM permettent actuellement la reconstruction mammaire immédiate (RMI) sans augmentation des complications opératoires [2]. La RMI présente beaucoup d'avantages, en plus de la diminution du retentissement émotionnel et psychologique de l'amputation mammaire ; elle permet une diminution du nombre de jours d'hospitalisation et d'interventions chirurgicales et donc offre un bénéfice financier et général, puisque le résultat esthétique global est supérieur à celui obtenu avec la reconstruction différée [2,3].…”

Section: Introductionunclassified

Résultats oncologiques de la reconstruction immédiate après mastectomie pour cancer du sein: à propos de 38 cas

et al. 2010

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Objectifs : Analyser les résultats oncologiques de la reconstruction mammaire immédiate (RMI) par lambeau abdominal avancé (LAA) associé à une prothèse et l'impact des traitements adjuvants sur les résultats esthétiques. Matériel et méthodes : Étude rétrospective colligeant 38 patientes ayant eu une RMI après mastectomie pour cancer du sein, utilisant le LAA associé à une prothèse mammaire, réalisée par un même opérateur au cours de la période allant de janvier 1997 à juin 2008. Résultats : Le recul moyen était de 34,5 mois. Nous avons déploré, sans retard diagnostique, trois cas de récidive : deux sous forme locale et un sous forme de métastases cérébrales entraînant le décès 18 mois après la chirurgie ; la tumeur initiale avait des éléments de mauvais pronostic. Un retard de cicatrisation a été observé dans un cas suite à une épidermolyse postradique. Nous avons relevé deux cas de contracture capsulaire chez des patientes ayant reçu une radiothérapie postopératoire. Le résultat cosmétique était jugé mauvais dans trois cas (ablation de prothèse), acceptable dans dix cas, bon dans 20 cas et excellent dans cinq cas. Conclusion : La RMI par lambeau d'avancement abdominal n'augmente pas les taux de récidives et ne réduit pas la survie globale. Les résultats cosmétiques sont globalement bons et satisfaisants. Mots clés Cancer du sein · Mastectomie · Reconstruction immédiate · Chirurgie reconstructriceAbstract Objective: The purpose of this study is to analyze the oncologic outcome of immediate reconstruction after mastectomy for breast cancer and the impact of adjuvant treatments on cosmetic results. Patients and methods: This retrospective study concerns 38 consecutive advanced abdominal flap with breast prothesis, realized immediately after mastectomy for breast cancer by one surgeon between 1997 and 2008. Results: The average retrospective period was 34.5 months. Recurrence was observed in three cases without late diagnosis. It was local in two cases and systemic in one case resulting in death 18 months after reconstruction. Breast tumor in these cases had several initial poor prognostic factors. Delayed scarring was noted in one case due to post-radiation cutaneous necrosis. Capsular contracture was also observed in two women who received postoperative radiotherapy. In our study, esthetic results were considered poor in three cases because of prothesis removal in these cases, acceptable in 10 cases, good in 20 cases, and excellent in 5 cases. Conclusion: Immediate breast reconstruction using advanced abdominal flap associated to a prothesis doesn't affect neither local and systemic recurrence rates nor overall survival. Cosmetic results are overall good.

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Inflammatory breast cancer in Tunisia

Boussen

Bouzaiène

Hassouna

et al. 2010

Cancer

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Inflammatory breast cancer (IBC) is characterized by a peculiar geographic distribution in incidence, being described as more common in Tunisia and the region of North Africa. The authors performed a systematic review of published literature on rapidly progressing breast cancer and IBC in Tunisia and analyzed the evolution in epidemiology, clinical presentation, treatment, and therapeutic results. They collected, analyzed, and compared all the indexed Tunisian articles about rapidly progressing breast cancer and IBC since the 1970s opening of the Institut Salah Azaiz Institute in Tunis. In the 1970s, rapidly progressing breast cancer diagnosis was based on the Poussée Évolutive classification (1-3). Since the 1990s, IBC diagnosis has been based on the American Joint Committee on Cancer Poussée Évolu-tive 3/T4d staging. The authors compared the historical data to the most recent publications in terms of epidemiology, clinical features, treatment, and therapeutic results. The most important historical report of rapidly progressing breast cancer concerned 340 patients, representing 58.5% of a cohort of 581 breast cancer patients collected from 1969 to 1974, including 320 (55.2%) with inflammatory signs, 37(6.5%) with Poussée Évolutive 2, and 283 (48.7%) with Poussée Évolutive 3. Subsequent papers have documented a steady decrease in incidence to the current 5% to 7% T4d/IBC. Since the 1970s, Poussée Évolutive in premenopausal woman has increased from 52.5% to 75%; rural predominance has persisted. The 5-year overall survival reached 28% by the year 2000. The authors' analysis demonstrated a trend of decreasing incidence of IBC diagnoses from 50% to presently <10%, probably related to a combination of factors, including the use of more stringent criteria (Poussée Évolutive 3/T4d) for IBC diagnosis and an improvement in the socioeconomic level of Tunisia. Cancer 2010;116(11 suppl):2730-5.

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Pronostic du cancer du sein chez les femmes tunisiennes : analyse d'une série hospitalière de 729 patientes

Cited by 30 publications

References 9 publications

Breast Carcinoma in Younger Algerian Eastern Women: Epidemiological Profile in Series of 135 Cases

Breast Carcinoma in Younger Algerian Eastern Women: Epidemiological Profile in Series of 135 Cases

Résultats oncologiques de la reconstruction immédiate après mastectomie pour cancer du sein: à propos de 38 cas

Inflammatory breast cancer in Tunisia

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