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Contribution of Scanner in the Breast Cancer Extension Assessment in the Radiology Department of CNHU-HKM in Benin

Received: 6 October 2020     Accepted: 27 October 2020     Published: 4 November 2020
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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.

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

Keywords

Cancer, breast, CT Scan, Metastases, Benin

References
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[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.
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[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.
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    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

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    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

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    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

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  • @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}
    }
    

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  • 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  - 

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Author Information
  • Department of Radiology and Medical Imaging, National Teaching University Hospital Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin

  • Department of Radiology and Medical Imaging, National Teaching University Hospital Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin

  • University Clinic of Gynecology, National Teaching University Hospital Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin

  • Department of Radiology and Medical Imaging, National Teaching University Hospital Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin

  • Department of Radiology and Medical Imaging, National Teaching University Hospital Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin

  • Radiology Department of Parakou, Teaching University Hospital of Borgou Department, Parakou, Benin

  • Radiology Department of Parakou, Teaching University Hospital of Borgou Department, Parakou, Benin

  • Department of Radiology and Medical Imaging, National Teaching University Hospital Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin

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