Breast cancer in Tunisia: clinical and epidemiological study

This study has been realized to determine epidemiological profil and clinic opathologic aspect of breast cancer in Tunisia. Wk have counted and analyze d all cancers of the breast diagnosed in Tunisia with proof pathologic or t o defect cytologic of malignancy between 689 new cases of mammary cancers h ave been diagnosed at the women. The average new cases of mammary cancers h ave been diagnosed at the women. The average patient age was 50.0 years, th e incidence standardized on the age of the cancer of the breast in Tunisia was 16.7/100,000 women. The average size of the tumor war 49.5 mm (35.8 mm at patients processed in private clinics and 50.7 mm at patients processed in the public hospitals). According to TNM classification of 1988, 7.2% of tumors were classified TI, 48.9% T2, 18.5% T3, and 23.4% T4 (6.2% T4d and 1 6.1% T4b). 22.1% of tumors were M1. 3.3% were in situ carcinoma. For the in filtrants cancers, the grade II SBR has been the most frequent (53.6%). On the therapeutic plan, the conservative processing has been practiced only a t 17.6% of patients. The cancer of the breast in Tunisia rest again relativ ely little frequent, and its clinic profile resides alarming. The inflammat ory cancer notion of the breast (equal T4d) intimately linked to Tunisia ov erestimates probably the reality. Cancers that were classified "PEV" in man y publications would be in reality only for most of locally evolved and neg lected cancers.