Author(s)

Jean Marc Dia^1*, Lydie Estelle Djanhan², C. Saki¹, Mouhideen Oyéladé¹, Gérard Okon¹, Abdoulaye Camara¹, Abdoulaye Diallo¹, Privat Guié¹, Simplice Anongba¹

¹Department of Gynecology and Obstetrics, University Hospital of Treichville, Abidjan, Cote d’Ivoire.
²Department of Gynecology and Obstetrics, University Hospital of Bouaké, Bouake, Cote d’Ivoire.

Objective: To report the experience of Gynecology Department of the University Hospital of Treichville in the management of the inflammatory breast cancers. Methodology: We conducted a retrospective and descriptive study on cases of the inflammatory breast cancers managed in the Gynecology Department of the University Hospital of Treichville, from January 2011 to December 2015. Results: We collected 44 cases of inflammatory breast cancer representing 17.9% of all breast cancers. The average age of patients was 46.5 years (32 - 70 years) and among them, the majority had inadequate socioeconomic level (90.9%). The risk factor for cancer found in the majority of patients was the age of first menstrual periods before the age of 12 years (52.3%). The average consultation time was long (10 months) and several patients had extensive inflammatory signs (38.6%), with lymph node involvement (84.1%) and metastases (36.4%). At the histological analysis, the most common type was invasive ductal carcinoma (81.8%), SBR grade III (54.5%). Regarding treatment, mastectomy according to Patey associated with a chemotherapy was performed in 22.7% cases. The evolution has been marked by an overall 5-year survival of 20%. Conclusion: The management of inflammatory breast cancers was late and incomplete in our service making poor prognosis.

Inflammatory Brest Cancers, Epidemiology, Diagnosis, Treatment

Dia, J. , Djanhan, L. , Saki, C. , Oyéladé, M. , Okon, G. , Camara, A. , Diallo, A. , Guié, P. and Anongba, S. (2018) Management of Inflammatory Breast Cancers in Subsaharian Africa Context. Open Journal of Obstetrics and Gynecology, 8, 20-30. doi: 10.4236/ojog.2018.81003.