Inflammatory breast cancer in Tunisia: epidemiological and clinical trends.

摘要: Inflammatory breast cancer (IBC) is characterized by a peculiar geographic distribution in incidence, being described as more common Tunisia and the region of North Africa. The authors performed systematic review published literature on rapidly progressing IBC analyzed evolution epidemiology, clinical presentation, treatment, therapeutic results. They collected, analyzed, compared all indexed Tunisian articles about since 1970s opening Institut Salah Azaiz Institute Tunis. In 1970s, diagnosis was based Poussee Evolutive classification (1-3). Since 1990s, has been American Joint Committee Cancer 3/T4d staging. historical data to most recent publications terms features, important report concerned 340 patients, representing 58.5% cohort 581 patients collected from 1969 1974, including 320 (55.2%) with inflammatory signs, 37(6.5%) 2, 283 (48.7%) 3. Subsequent papers have documented steady decrease incidence current 5% 7% T4d/IBC. premenopausal woman increased 52.5% 75%; rural predominance persisted. 5-year overall survival reached 28% year 2000. authors' analysis demonstrated trend decreasing diagnoses 50% presently <10%, probably related combination factors, use stringent criteria (Poussee 3/T4d) for an improvement socioeconomic level Tunisia. 2010;116(11 suppl):2730–5. © 2010 Society.