BREAST CANCER IN WOMEN IN THE CENTRAL AFRICAN REPUBLIC: EPIDEMIOLOGICAL, DIAGNOSTIC AND THERAPEUTIC FACTORS.

Issa Mapouka Pierre Alfred*, Mboreha Zafy Hai Rou, Dibert - Bekoy -Nouganga Emmanuel, Dotte Guy Roger, Bendot Gueguet Yacka Kongo Holibamon Jesus and Doui Doumgba Antoine

ABSTRACT

Purpose: To describe the epidemiological, diagnostic and therapeutic aspects of breast cancer in women in the surgery department of the community University Hospital Center of Bangui. Material and method: this was a prospective and descriptive study out of three (03) years, ranging from November 1, 2017 to December 31, 2019. Results: thirty-nine (39) cases of breast cancer in women were collected. The mean age of the patients was 50.4 ± 9.5 years. Women over 45 were in the majority with 79.5%. The average of their body mass index (BMI) was 28.5 ± 3.2. The average consultation time was 9.7 ± 20.5 months. The average age of the first menarche was 11.4 ± 1.1 years. The breast nodule was the most common clinical manifestation (87.2%). The left breast was the most affected (69.2%). Ductal carcinoma was the most common histological type (74.4%). Neoadjuvant chemotherapy was used in 43.6% of cases. Mastectomy was the most used surgical procedure (51.3%). Conclusion: in Bangui, breast cancer in women is mainly a ductal carcinoma of low histological grade, of interest to elderly women, who have given birth and are breastfeeding. It is often treated by chemotherapy and surgery.

Keywords: breast cancer, diagnosis, treatment, Central African Republic.