Clinical Prevalence and Management of Breast Cancer in Selected Tertiary Hospitals in Nigeria
Abstract:
Background and objective:
More
than half of the global cancer burden of breast cancer is found in low- and middle-income
countries. The magnitude of cancer mortality will be directly related to the presentation
and effectiveness of efforts to treat cancer. This study aims to determine the presentation,
management and outcome of breast cancer in an African setting.
Methodology: Retrospective study
of all consecutive histologically confirmed cases of breast cancer in women was
extracted from patient’s clinical case notes and histopathology reports. Data was
analyzed using SPSS software version 25.
Results
& discussions: A total of 107 patients were seen in a period of 5 years
with a breast cancer prevalence of 6.6 per 100,000. The mean age of presentation
is 44.5 years. 90% presented with Invasive ductal carcinoma and 71% presented with
TNM stages 3. 77% had modified radical mastectomy and 42% had chemotherapy. No patient
had radiotherapy within the setting.
After six months the overall mortality was
10.3%. Only 8.4% patients were seen in the first follow up while 30% were loss to
follow up.
Conclusion: The breast cancer is
still a major public health concern in low- and middle-income countries. Late presentation
and absence of modern management techniques contributes to the high mortality associated
with the disease in this region.
Keywords: Breast Cancer, Presentation, Management, Outcome,
Kebbi, Nigeria.
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