Inflammatory breast cancer: Epidemiological, diagnostic, therapeutic and evolutionary aspects. About 43 cases at the Joliot-Curie Institute in Dakar

M. Guira, O. M. S. Apithy, Mohammed Ezzet Charfi, H. Sawadogo, N. Zongo, Sidy Ka, A. Dem
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Abstract

OBJECTIVE: To clarify the epidemiological, diagnostic and therapeutic features and to improve the prognosis of inflammatory breast cancer. MATERIALS AND METHODS: This is a retrospective study from January 1, 2018 to December 31, 2020 including patients with a diagnosis of inflammatory breast cancer. RESULTS: During the study, 1.730 cases of breast cancer were collected, of which 43 cases of inflammatory cancer (2.5%). The average age of the patients was 44.8 years. The average consultation time was 6.4 months. All patients had lymph node involvement. Non-specific infiltrating carcinoma was the histological type found in all cases. All patients received at least a first line of chemotherapy with a better clinical response to taxanes than to anthracyclines. Surgery was performed in 69.76% of cases. Forty percent of patients were alive at the end of the study. CONCLUSION: Inflammatory breast cancer is quite rare at the Joliot-Curie Institute. The diagnosis is late. Early diagnostic and therapeutic management would improve the therapeutic outcome of inflammatory breast cancer. KEYWORDS: Inflammatory breast cancer; Epidemiology; Prognosis.
炎性乳腺癌:流行病学、诊断、治疗和进化方面。达喀尔约里奥-居里研究所约有43例病例
目的:了解炎性乳腺癌的流行病学、诊断和治疗特点,改善预后。材料和方法:这是一项回顾性研究,从2018年1月1日至2020年12月31日,包括诊断为炎症性乳腺癌的患者。结果:本研究共收集乳腺癌患者1.730例,其中炎性癌43例(2.5%)。患者平均年龄44.8岁。平均咨询时间为6.4个月。所有患者均有淋巴结受累。所有病例组织学类型均为非特异性浸润性癌。所有患者至少接受了一线化疗,紫杉烷类药物的临床疗效优于蒽环类药物。69.76%的病例接受手术治疗。40%的患者在研究结束时还活着。结论:炎性乳腺癌在约里奥-居里研究所相当罕见。诊断太晚了。早期诊断和治疗管理将提高炎性乳腺癌的治疗效果。关键词:炎性乳腺癌;流行病学;预后。
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