International Journal of Cancer and Oncology
Epidemiologic and Clinical Profiles of Breast Diseases in Niger
- 1Department of Health Services Research & Administration , University of Nebraska Medical Center College of Public Health, Omaha, NE
- 2Niamey National Hospitals, Surgical Oncology Department, Niamey, Niger
- 3Department of Epidemiology, University of Nebraska Medical Center College of Public Health, Omaha, NE
Amr S. Soliman, M.D., Ph.D., Department of Epidemiology University of Nebraska Medical Center, College of Public Health 984395 Nebraska Medical Center Omaha, NE 68198-4395, Tel: 402-559-3976; Fax: 402-559-7259; E-mail: email@example.com
Soliman, A.S., et al. Epidemiologic and Clinical Profiles of Breast Diseases in Niger. (2015) Intl J Cancer Oncol 2(2): 74-79.
© 2015 Soliman, A.S. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License
KeywordsBreast cancer; Breast diseases; Epidemiology; Niger; Sub-Saharan Africa; Male breast cancer
This study aimed at characterizing epidemiologic and clinical profiles of breast diseases in Niger during 2010-2013 at the National Hospital of Niamey. Medical records were abstracted for demographic, reproductive, clinical, and treatment data. A process map of patient navigation and barriers to seeking medical care was developed after interviewing 26 local health professionals who encounter and/or manage breast diseases. We identified 245 breast cancers and 122 other breast diseases. Mean age of breasts was 45.4 (±13.26 years) and that of breast diseases was 31(±12.5 years) with 1/3 of cancers under age 44. Infection-related diseases represented 24% of non-cancers. Male breast diseases represented 4.75% of diseases and 2.05% of cancers. Only 37.1% of breast cancers had histopathologic confirmation and 90% of cancer patients presented at advanced stages and mastectomy was performed for 66% of breast cancers. Patient and system barriers to care were common in diagnosing and treating breast diseases. Women in Niger have double burden of infectious breast diseases and emerging breast cancer. Younger age and late diagnosis are common features. Reducing barriers to access to care, down-staging of cancer, implementation of clinical guidelines for managing advanced cases are important needs for reducing breast cancer morbidity and mortality in Niger.