Objective: Breast cancer is the most common female cancer in the world. The prognosis depends on whether metastasis is present or not. The objective of this study was to provide an overview of the CT scan aspects identified during the evaluation of breast cancer extension in the Radiology department of the Teaching University Hospital of Hubert Koutoukou Maga (CNHU-HKM) in Cotonou in Benin. Materials and methods: It was a descriptive study with retrospective collection, conducted from January 1, 2018 to January 31, 2019 (13 months), in the Radiology department of CNHU-HKM. It focused on patients referred for a chest-abdominal-pelvic computed tomography (PET) scan, as part of an extension assessment for breast cancer. Results: During the period of the study, 40 chest-abdominal-pelvic CT scans were compiled, of which 38 (95%) were women and 02 men (5%), and among which 23 were metastatic, accountings for a prevalence of 57.5%. The average age was 51.22±16.33 with extremes of 30 and 83 years old. Among our patients, 32 (80%) had undergone a CT scan for an initial diagnostic of extension assessment, and 08 (20%) for the therapeutic response assessment. According to the TNM classification, T4 tumors accounted for 27.5% (11 cases). Lymph node involvement was found in 18 cases (43.90%), accounting for 12 (30%) of N1 and 6 (15%) of N3. The most commonly found metastatic sites were the lung in 25% followed by the pleura and the liver with equal percentages (10%). The metastases CT scan aspect was typically a carcinomatous lymphangitis appearance; fluid pleural effusions; hypodenses, hypovascular nodules hepatics; osteolytic or mixed bone damage and peritoneum, especially fluid effusion associated with peritoneal nodules. Conclusion: The frequency of breast cancer metastases is high in Benin. The most commonly found metastatic sites on scanner in descending order are the lungs, liver and bones.
Published in | American Journal of Internal Medicine (Volume 8, Issue 6) |
DOI | 10.11648/j.ajim.20200806.14 |
Page(s) | 263-266 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Cancer, breast, CT Scan, Metastases, Benin
[1] | Mohammadian M, Pakzad R, Towhidi F, Makhsosi BR, Ahmadi A, Salehiniya H. Incidence and mortality of kidney cancer and its relationship with HDI (Human Development Index) in the world in 2012. Clujul Med. 2017; 90 (3): 286–93. |
[2] | Mshs L, Ogoudjobi M, Als L, Denakpo J. Cancer mammaire dans le Département du Littoral au Bénin Breast cancer in the Littoral Department of Benin. Carcinol Clin en Afrique. 2017; 16 (2): 26–33. |
[3] | Barrett T, Bowden DJ, Greenberg DC, Brown CH, Wishart GC, Britton PD. Radiological staging in breast cancer: Which asymptomatic patients to image and how. Br J Cancer. 2009; 101 (9): 1522–8. Available from: http://dx.doi.org/10.1038/sj.bjc.6605323. |
[4] | Senkus E, Kyriakides S, Penault-Llorca F, Poortmans P, Thompson A, Zackrisson S, et al. Primary breast cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2013; 24 (SUPPL. 6): vi7-vi23. |
[5] | Togo A, Traoré A, Traoré C, Dembélé BT, Kanté L, Diakité I, et al. Cancer du sein dans deux centres hospitaliers de Bamako (Mali): Aspects diagnostiques et thérapeutiques. J Africain du Cancer. 2010; 2 (2): 88–91. |
[6] | Baeta S, Nyame A, Nyame A, Tete K, Kolani K, Akpadza K. Survie globale des patientes traitees pour cancer du sein au Chu de Lome (Togo). J la Rech Sci l’Université Lomé. 2010; 7–8. |
[7] | Jihen J, Habib A, Nabil T, Sourour Y, Slim C, Khaled T, et al. Le cancer du sein chez la femme agée epidémiologie et caractéristiques cliniques. J. I. M. Sfax. 2004; (19/20) 41–51. |
[8] | Robert J, Kenn MC. Clinical aspect of cancer in the elderly. Cancer 1994; 74: 2107-2117. |
[9] | Elbachiri M, Fatima S, Bouchbika Z, Benchekroun N, Jouhadi H, Tawfiq N, et al. Breast cancer in men: About 40 cases and literature review. Pan Afr Med J. 2017; 28: 1–7. |
[10] | Brennan ME, Houssami N. Evaluation of the evidence on staging imaging for detection of asymptomatic distant metastases in newly diagnosed breast cancer. The Breast. 2012; 21 (2): 112–23. Available from: http://dx.doi.org/10.1016/j.breast.2011.10.005. |
[11] | Schroeder H, Hanocq, Collignon J, Colin P, DePuiS Z, TriFFaux F, et al. Intérêt du bilan d’extension par imagerie lors du diagnostic initial et du suivi les trois premières années après le diagnostic. Rev Med Liège. 2015; 70 (3): 140–7. Available from: https://orbi.uliege.be/bitstream/2268/181069/1/RMLg 2015 140-147.pdf. |
[12] | Kasem AR, Desai A, Daniell S, Sinha P. Bone scan and liver ultrasound scan in the preoperative staging for primary breast cancer. The Breast Journal 2006; 12 (6): 544-8. |
[13] | Niikura N, Costelloe CM, Madewell JE, Hayashi N, Yu TK, Liu J, et al. FDG-PET/CT Compared with conventional imaging in the Detection of distant metastases of primary breast cancer. The Oncologist 2011; 16 (8): 1111-9. |
APA Style
Yekpe Ahouansou Patricia, Adjadohoun Sonia, Lokossou Symphorose, Ngamo Gabriel, Lokossou Andreas, et al. (2020). Contribution of Scanner in the Breast Cancer Extension Assessment in the Radiology Department of CNHU-HKM in Benin. American Journal of Internal Medicine, 8(6), 263-266. https://doi.org/10.11648/j.ajim.20200806.14
ACS Style
Yekpe Ahouansou Patricia; Adjadohoun Sonia; Lokossou Symphorose; Ngamo Gabriel; Lokossou Andreas, et al. Contribution of Scanner in the Breast Cancer Extension Assessment in the Radiology Department of CNHU-HKM in Benin. Am. J. Intern. Med. 2020, 8(6), 263-266. doi: 10.11648/j.ajim.20200806.14
AMA Style
Yekpe Ahouansou Patricia, Adjadohoun Sonia, Lokossou Symphorose, Ngamo Gabriel, Lokossou Andreas, et al. Contribution of Scanner in the Breast Cancer Extension Assessment in the Radiology Department of CNHU-HKM in Benin. Am J Intern Med. 2020;8(6):263-266. doi: 10.11648/j.ajim.20200806.14
@article{10.11648/j.ajim.20200806.14, author = {Yekpe Ahouansou Patricia and Adjadohoun Sonia and Lokossou Symphorose and Ngamo Gabriel and Lokossou Andreas and Kiki Miralda and Akanni Djivèdé and Biaou Olivier}, title = {Contribution of Scanner in the Breast Cancer Extension Assessment in the Radiology Department of CNHU-HKM in Benin}, journal = {American Journal of Internal Medicine}, volume = {8}, number = {6}, pages = {263-266}, doi = {10.11648/j.ajim.20200806.14}, url = {https://doi.org/10.11648/j.ajim.20200806.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200806.14}, abstract = {Objective: Breast cancer is the most common female cancer in the world. The prognosis depends on whether metastasis is present or not. The objective of this study was to provide an overview of the CT scan aspects identified during the evaluation of breast cancer extension in the Radiology department of the Teaching University Hospital of Hubert Koutoukou Maga (CNHU-HKM) in Cotonou in Benin. Materials and methods: It was a descriptive study with retrospective collection, conducted from January 1, 2018 to January 31, 2019 (13 months), in the Radiology department of CNHU-HKM. It focused on patients referred for a chest-abdominal-pelvic computed tomography (PET) scan, as part of an extension assessment for breast cancer. Results: During the period of the study, 40 chest-abdominal-pelvic CT scans were compiled, of which 38 (95%) were women and 02 men (5%), and among which 23 were metastatic, accountings for a prevalence of 57.5%. The average age was 51.22±16.33 with extremes of 30 and 83 years old. Among our patients, 32 (80%) had undergone a CT scan for an initial diagnostic of extension assessment, and 08 (20%) for the therapeutic response assessment. According to the TNM classification, T4 tumors accounted for 27.5% (11 cases). Lymph node involvement was found in 18 cases (43.90%), accounting for 12 (30%) of N1 and 6 (15%) of N3. The most commonly found metastatic sites were the lung in 25% followed by the pleura and the liver with equal percentages (10%). The metastases CT scan aspect was typically a carcinomatous lymphangitis appearance; fluid pleural effusions; hypodenses, hypovascular nodules hepatics; osteolytic or mixed bone damage and peritoneum, especially fluid effusion associated with peritoneal nodules. Conclusion: The frequency of breast cancer metastases is high in Benin. The most commonly found metastatic sites on scanner in descending order are the lungs, liver and bones.}, year = {2020} }
TY - JOUR T1 - Contribution of Scanner in the Breast Cancer Extension Assessment in the Radiology Department of CNHU-HKM in Benin AU - Yekpe Ahouansou Patricia AU - Adjadohoun Sonia AU - Lokossou Symphorose AU - Ngamo Gabriel AU - Lokossou Andreas AU - Kiki Miralda AU - Akanni Djivèdé AU - Biaou Olivier Y1 - 2020/11/04 PY - 2020 N1 - https://doi.org/10.11648/j.ajim.20200806.14 DO - 10.11648/j.ajim.20200806.14 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 263 EP - 266 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20200806.14 AB - Objective: Breast cancer is the most common female cancer in the world. The prognosis depends on whether metastasis is present or not. The objective of this study was to provide an overview of the CT scan aspects identified during the evaluation of breast cancer extension in the Radiology department of the Teaching University Hospital of Hubert Koutoukou Maga (CNHU-HKM) in Cotonou in Benin. Materials and methods: It was a descriptive study with retrospective collection, conducted from January 1, 2018 to January 31, 2019 (13 months), in the Radiology department of CNHU-HKM. It focused on patients referred for a chest-abdominal-pelvic computed tomography (PET) scan, as part of an extension assessment for breast cancer. Results: During the period of the study, 40 chest-abdominal-pelvic CT scans were compiled, of which 38 (95%) were women and 02 men (5%), and among which 23 were metastatic, accountings for a prevalence of 57.5%. The average age was 51.22±16.33 with extremes of 30 and 83 years old. Among our patients, 32 (80%) had undergone a CT scan for an initial diagnostic of extension assessment, and 08 (20%) for the therapeutic response assessment. According to the TNM classification, T4 tumors accounted for 27.5% (11 cases). Lymph node involvement was found in 18 cases (43.90%), accounting for 12 (30%) of N1 and 6 (15%) of N3. The most commonly found metastatic sites were the lung in 25% followed by the pleura and the liver with equal percentages (10%). The metastases CT scan aspect was typically a carcinomatous lymphangitis appearance; fluid pleural effusions; hypodenses, hypovascular nodules hepatics; osteolytic or mixed bone damage and peritoneum, especially fluid effusion associated with peritoneal nodules. Conclusion: The frequency of breast cancer metastases is high in Benin. The most commonly found metastatic sites on scanner in descending order are the lungs, liver and bones. VL - 8 IS - 6 ER -