Deces par cancer du sein au CHU Sylvanus Olympio de Lome : plaidoyer pour un depistage systematique chez les patientes a risques au Togo

Introduction: Le cancer du sein est une tumeur maligne qui se developpe au depend de la glande mammaire. C’est le premier cancer feminin en termes d’incidence et de mortalite Objectif: Determiner le nombre de patientes decedees au cours de notre periode d’etude. Malades et Methode: Nous avons collecte 37 dossiers medicaux des patientes decedees pour cancer du sein, du 1er Janvier 2014 au 31 Decembre 2015, soit une periode de 24 mois. Resultats: Le cancer du sein etait le plus represente (58,4%), suivi du cancer du col (21,2%). Parmi ces 220 patientes, nous avions enregistre 37 deces par cancer du sein, soit 16,1%. La tranche d’âge de 40 - 49 ans etait la plus representee (35,2%). Dix-neuf (19) patientes (51,3%) etaient multipares. La majorite des patients etaient des revendeuses (45,9%), suivi des femmes au foyer (36,2%). La plupart des patientes avaient presente un cancer inflammatoire d’aspect peau d’orange (81%). Le stade IV de FIGO etait retrouve chez toutes nos patientes (100%). Trente-deux patientes (32) soit 86,5% ont beneficie d’un traitement medical (palliatif) ; La chimiotherapie a ete administree a 10 patientes soit 27%. Huit (08) patientes, soit 21,6 %, ont beneficie d’une chirurgie selon Patey. Conclusion: Le cancer du sein est un veritable probleme de sante publique au Togo. Il serait opportun de mieux organiser sa prise en charge, pour deceler les cas a un stade precoce en vue de donner une chance de survie aux malades. Mots cles: sein, cancer, CHU SO English Title:  Death from breast cancer at Sylvanus Olympio Teatching Hospital of Lome: advocacy for systematic screening for patients at risk in Togo English Abstract Introduction: Breast cancer is a malignant tumor that develops at the expense of the mammary gland. It is the first female cancer in terms of incidence and mortality. Objective: To determine the number of patients who died during our study period. Patients and Methods: We collected 37 medical records of deceased breast cancer patients from January 1, 2014 to December 31, 2015, for a period of 24 months. Results: Breast cancer was the most represented (58.4%), followed by cervical cancer (21.2%). Of these 220 patients, we had 37 breast cancer deaths, or 16.1%. The age group 40-49 was the most represented (35.2%).Nineteen (19) patients (51.3%) were multiparous. The majority of patients were female sellers (45.9%) followed by  housewives (36.2%). Most patients had an orange-peel inflammatory cancer (81%). Stage IV of FIGO was found in all our patients (100%). Thirty two patients (32) or 86.5% received medical treatment (palliative); Chemotherapy was administered to 10 patients, ie 27%. Eight (08) patients, or 21.6%, underwent surgery according to Patey Conclusion: Breast cancer is a real public health problem in Togo. It would be advisable to better organize its care, to detect cases at an early stage in order to give the patients a chance of survival. Keywords: breast, cancer, CHU SO